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

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: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Jul 30, 2024, Nov 13, 2023 and 2 more (5 updates tracked since 2017).

About Ageless Men's Health NPPES

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

AGELESS MEN'S HEALTH (NPI 1114448644) is a healthcare organization registered as an adult medicine in Chicago, Illinois and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Northbrook and lists Amanda Wilkinson, Business Operations Director, 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 Address1729 N Clybourn AveChicago, IL 60614-6503 · (312) 291-8335 · Fax (312) 291-8337
Phone(312) 291-8335
Fax(312) 291-8337
Organization SubpartNo
Authorized OfficialAmanda WilkinsonBusiness Operations Director · (702) 818-0446
Enumeration DateJuly 6, 2017
Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ 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 Location 1

Location 11535 Lake Cook Rd Ste 212Northbrook, IL 60062-1451 · Phone (312) 374-3947

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.

PATRICIA A CEDANO
Nurse Practitioner (Family)
1729 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (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 November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.