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LIFE CLINIC, LLC
NPI 1043598501
Psychiatry & Neurology - Neurology in Mt Prospect, IL

Active since August 01, 2011
20 E NORTHWEST HWY, MT PROSPECT, IL 60056(847) 342-9033 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Clinic, Llc NPPES

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

LIFE CLINIC, LLC (NPI 1043598501), doing business as Genesis Medical, Llc, is a healthcare organization registered as a neurology in Mt Prospect, Illinois and active in the NPI registry since August 2011. The organization lists Charles Lee, Director, as its authorized official.

NPPES Registry Identity

NPI1043598501
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLIFE CLINIC, LLC
Location Address20 E NORTHWEST HWYMt Prospect, IL 60056-3223
Mailing Address2780 Prince StNorthbrook, IL 60062-6540 · (847) 342-9033
Phone(847) 342-9033
Organization SubpartNo
Authorized OfficialCharles LeeDirector · (847) 342-9033
Enumeration DateAugust 1, 2011
Last NPPES UpdateJune 26, 2015
✔ NPI 1043598501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036052025
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedChiropractorTaxonomy 111N00000X · License 038-007948 (IL)
Also ListedDentistTaxonomy 122300000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
20 E NORTHWEST HWY, Mt Prospect, IL 60056
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Other Names 1

Former Legal Business NameGenesis Medical, Llc

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES C LEE DC
Chiropractor
20 E NORTHWEST HWY
MT PROSPECT, IL 60056
Cook County (847) 342-9033

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 Life Clinic, LLC's NPI number?

The NPI number for Life Clinic, LLC is 1043598501. It was assigned to this organization in the NPPES registry on August 1, 2011. The provider was formerly known as Genesis Medical, LLC.

Where is Life Clinic, LLC located?

Life Clinic, LLC is located at 20 E Northwest Hwy, Mt Prospect, IL 60056. The listed phone number is (847) 342-9033.

What is Life Clinic, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Life Clinic, LLC was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.