Organization
CHICAGO ANTI AGING INSTITUTE SC
Active
Other names
Chicago Anti Aging Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN DAVIS DC (PRESIDENT)
(708) 267-2164
Entity
Organization
Contact information
Practice address
16622 W 159TH ST STE 500, LOCKPORT, IL 60441-8015
(815) 838-7746
(815) 838-5090
Mailing address
16622 W 159TH ST STE 500, LOCKPORT, IL 60441-8015
(815) 838-7746
(815) 838-5090
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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