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Organization
CAMMI, LLC
Active
Organization
CAMMI, LLC
Active
Other names
LifeForce Medical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROSENBLOOM MD, MBA, FAAEM (CHIEF MEDICAL OFFICER)
(773) 649-4154
Entity
Organization
Contact information
Practice address
1840 OAK AVE, SUITE 125, EVANSTON, IL 60201-3642
(773) 649-4154
(773) 453-3202
Mailing address
1840 OAK AVE, SUITE 125, EVANSTON, IL 60201-3642
(773) 649-4154
(773) 453-3202
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
036.085053
IL
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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