LIFEFORCE MEDICAL INSTITUTE


Address: 60 Revere Dr, Site 820, Northbrook, IL 60062-1563
Phone: 8475634493

LIFEFORCE MEDICAL INSTITUTE (NPI# 1588078844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588078844
Entity Type Organization
Organization Name LIFEFORCE MEDICAL INSTITUTE
Practice Address 60 Revere Dr
Site 820
Northbrook
IL 60062-1563
Practice Telephone 8475634493
Mailing Telephone 8475634493
Enumeration Date 2014-06-16
Last Update Date 2014-06-16
Authorized Official Name DR. MARK ROSENBLOOM (OWNER)
Authorized Official Telephone 8475634493
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
336047254 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 60 REVERE DR
SITE 820
City NORTHBROOK
State IL
Zip Code 60062-1563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578589750 Claudia P. Welke Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2006-07-14
1326593088 Joshua Williams Md LLC Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-08-23
1427503168 Colleen Mcguire Md LLC Psychiatry & Neurology 60 Revere Dr, Northbrook, IL 60062-1563 2016-08-23
1700331469 Deepali Gershan Md Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-08-23
1528419876 Colleen Mcguire Md LLC Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-06-28
1174974802 Dr. Deepali G. Gershan, LLC Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-06-23
1649620188 Dr. Joshua A. Williams, LLC Psychiatry & Neurology 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-06-15
1043674385 Lindsay Buvel Counselor 60 Revere Dr, Suite 100, Northbrook, IL 60062-1563 2016-04-13
1710347455 Mariette Champagne Counselor 60 Revere Dr, Suite 202, Northbrook, IL 60062-1563 2016-02-23
1083073688 Christopher Lowden Md LLC Psychiatry & Neurology 60 Revere Dr, Northbrook, IL 60062-1563 2016-02-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487067 Cvs Aoc Services, L.L.C. Optometrist 936 Willow Road, Store 0141, Northbrook, IL 60062 2020-05-06
1386103885 Jennifer Venegas Behavior Technician 5 Revere Dr Suit 120, Northbrook, IL 60062 2019-03-14
1720558281 Taylor Hundley Behavior Technician 5 Revere Dr. Suite 120, Northbrook, IL 60062 2018-11-27
1609344027 Melissa Cepeda Behavior Technician 5 Revere Dr Suite 120, Northbrook, IL 60062 2018-11-03
1235606658 Candace Cheyenne Kaiser Behavior Technician 5 Revere Dr, Suite 120, Northbrook, IL 60062 2018-10-24
1275058745 The Renfrew Center of Illinois Counselor 5 Revere Dr, Suite 100, Northbrook, IL 60062 2017-08-07
1467984773 Ayzenshteyn Chiropractic Chiropractor 3210 Doolittle Dr., Northbrook, IL 60062 2017-03-28
1396282695 Josephine Driscoll Physician Assistant 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 2017-01-24
1396297842 Lauren Raphael Lcsw LLC Social Worker 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 2016-11-01
1851847073 Jassim Vailoces Physical Therapist 634 Academy Dr, Northbrook, IL 60062 2016-08-28
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Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083052609 Chicago Age Management Institute Preventive Medicine 60 Revere Dr Ste 820, Northbrook, IL 60062-1580 2013-06-05
1003122730 Mark Rosenbloom Preventive Medicine 60 Revere Dr, Suite 820, Northbrook, IL 60062-1563 2010-08-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275022188 Vip Health and Fitness Clinic Preventive Medicine 100 N Fairway Dr Ste 100-102, Vernon Hills, IL 60061-1859 2018-05-07
1457776361 Caroline Marie Jung Preventive Medicine 1817 W Berwyn Ave # 3, Chicago, IL 60640-1005 2014-02-28
1568690899 Sargon Audisho Preventive Medicine 4143 N Claremont Ave, Apt 2, Chicago, IL 60618-2919 2009-06-25
1194910125 Chicago Dept of Public Health Preventive Medicine 2849 N Clark St, Lakeview N H C, Chicago, IL 60657 2007-09-12
1508071010 Violeta P Dulanas Preventive Medicine 4958 W Madison St, Chicago, IL 60644-3541 2007-05-10
1073727400 Lourdes Mella Hilao Preventive Medicine 4243 W Fullerton Ave, Chicago, IL 60639-2049 2007-05-08
1639395239 K Michael Lipkin Preventive Medicine 370 Aspen Ln, Highland Park, IL 60035-4525 2007-04-18
1457493546 Esperanza G Salvador Preventive Medicine 2100 Ridge Ave, Evanston, IL 60201-2716 2007-02-13
1518021153 Westside C.d.c Preventive Medicine 2160 W. Ogden, Westside C.d.c, Chicago, IL 60604 2006-12-20
1821159625 31st Std Clinic Preventive Medicine 530 E 31st St, Std 31st Street Clinic, Chicago, IL 60616-4008 2006-12-13
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Competitor

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City NORTHBROOK
Zip Code 60062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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