Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AGELESS MEN'S HEALTH HOLDINGS INC
NPI 1114448644
Family Medicine - Adult Medicine in Chicago, IL

Q: What is Ageless Men's Health Holdings Inc's NPI number?

The NPI number for Ageless Men's Health Holdings Inc is 1114448644. It was assigned to this organization in the NPPES registry on July 6, 2017. The provider is doing business as Ageless Men's Health.

Q: What is Ageless Men's Health Holdings Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since July 06, 2017

1729 N CLYBOURN AVE, CHICAGO, IL 60614(312) 291-8335(312) 291-8337 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Nov 11, 2024, Jul 30, 2024 and 3 more (6 updates tracked since 2017).

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About Ageless Men's Health Holdings Inc NPPES

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

AGELESS MEN'S HEALTH HOLDINGS INC (NPI 1114448644), doing business as Ageless Men's Health, is a healthcare organization registered as an adult medicine in Chicago, Illinois and active in the NPI registry since July 2017. The organization maintains 2 additional practice locations and lists Amanda Wilkinson, Director Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1114448644

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameAGELESS MEN'S HEALTH HOLDINGS INC

Location Address1729 N CLYBOURN AVEChicago, IL 60614-6503

Mailing Address10501 W Gowan Rd Ste 200Las Vegas, NV 89129-6602 · (725) 204-6055 · Fax (725) 204-6055

Phone(312) 291-8335

Fax(312) 291-8337

Organization SubpartNo

Authorized OfficialAmanda WilkinsonDirector Of Business Operations · (602) 796-2559

Enumeration DateJuly 6, 2017

Last NPPES UpdateOctober 16, 20266 updates tracked since enumeration

NPPES CertifiedOctober 16, 2026

✔ NPI 1114448644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1729 N CLYBOURN AVE, Chicago, IL 60614

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Other Names 1

Doing Business AsAgeless Men's Health

Secondary Practice Locations 2

Location 11325 Wiley Rd Ste 164Schaumburg, IL 60173-4355 · Phone (630) 317-7690

Location 21535 Lake Cook Rd Ste 212Northbrook, IL 60062-1451 · Phone (312) 374-3947

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 Ageless Men's Health Holdings Inc's NPI number?

The NPI number for Ageless Men's Health Holdings Inc is 1114448644. It was assigned to this organization in the NPPES registry on July 6, 2017. The provider is doing business as Ageless Men's Health.

Where is Ageless Men's Health Holdings Inc located?

Ageless Men's Health Holdings Inc is located at 1729 N Clybourn Ave, Chicago, IL 60614. The listed phone number is (312) 291-8335.

What is Ageless Men's Health Holdings Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Ageless Men's Health Holdings Inc was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.