# CAMMI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeForce Medical Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255606778
- **Authorized official:** MARK ROSENBLOOM MD, MBA, FAAEM (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (773) 649-4154

## Contact information

- **Practice address:** 1840 OAK AVE, SUITE 125, EVANSTON, IL 60201-3642
- **Practice address phone:** (773) 649-4154
- **Practice address fax:** (773) 453-3202
- **Mailing address:** 1840 OAK AVE, SUITE 125, EVANSTON, IL 60201-3642
- **Mailing address phone:** (773) 649-4154
- **Mailing address fax:** (773) 453-3202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 036.085053 | IL | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 03/16/2012