Organization
AGELESS MEN'S HEALTH HOLDINGS INC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
1729 N CLYBOURN AVE, CHICAGO, IL 60614-6503
(312) 291-8335
(312) 291-8337
Mailing address
1729 N CLYBOURN AVE, CHICAGO, IL 60614-6503
(312) 291-8335
(312) 291-8337
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
11/11/2024
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