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CHICAGO ANTI AGING INSTITUTE SC
NPI 1003376245
Neuromusculoskeletal Medicine, Sports Medicine in Lockport, IL

Active since March 22, 2019
16622 W 159TH ST STE 500, LOCKPORT, IL 60441(815) 838-7746(815) 838-5090 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chicago Anti Aging Institute Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGO ANTI AGING INSTITUTE SC (NPI 1003376245), doing business as Chicago Anti Aging Institute, is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Lockport, Illinois and active in the NPI registry since March 2019. The organization lists Loren Davis, President, as its authorized official.

NPPES Registry Identity

NPI1003376245
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameCHICAGO ANTI AGING INSTITUTE SC
Location Address16622 W 159TH ST STE 500Lockport, IL 60441-8015
Mailing Address16622 W 159th St Ste 500Lockport, IL 60441-8015 · (815) 838-7746 · Fax (815) 838-5090
Phone(815) 838-7746
Fax(815) 838-5090
Organization SubpartNo
Authorized OfficialLoren DavisPresident · (708) 267-2164
Enumeration DateMarch 22, 2019
✔ NPI 1003376245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
16622 W 159TH ST STE 500, Lockport, IL 60441
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Other Names 1

Doing Business AsChicago Anti Aging Institute

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chicago Anti Aging Institute Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Chicago Anti Aging Institute Sc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Loren Davis, D.C.
Chiropractic
NPI 1891917795
16622 W. 159TH ST. SUITE 500
Lockport, IL 60441
(815) 838-7746
0.1 mi
Atul Joshi, D.O.
General Practice
NPI 1437361722
1 INGALLS DR
Harvey, IL 60426
(708) 332-2300
✔ PECOS✔ Accepts Medicare19 mi
Derrick Wallery, D.C.
Chiropractic
NPI 1437311701
4176 W MONTROSE AVE
Chicago, IL 60641
(773) 283-3131
29 mi
Carleen Kaucky, C-NP
Nurse Practitioner
NPI 1952734295
1445 SOUTH LAKE PARK AVE
Hobart, IN 46342
(219) 942-7100
✔ PECOS40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicago Anti Aging Institute Sc's NPI number?

The NPI number for Chicago Anti Aging Institute Sc is 1003376245. It was assigned to this organization in the NPPES registry on March 22, 2019. The provider is doing business as Chicago Anti Aging Institute.

Where is Chicago Anti Aging Institute Sc located?

Chicago Anti Aging Institute Sc is located at 16622 W 159th St Ste 500, Lockport, IL 60441. The listed phone number is (815) 838-7746.

What is Chicago Anti Aging Institute Sc's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Chicago Anti Aging Institute Sc enrolled in Medicare?

Yes. Chicago Anti Aging Institute Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chicago Anti Aging Institute Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Chicago Anti Aging Institute Sc, in Chiropractic, General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Chicago Anti Aging Institute Sc was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.