Organization
LIFESPAN MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINO OOMMEN MD (OWNER OF ENTITY)
(773) 301-3921
Entity
Organization
Contact information
Practice address
724 E KENSINGTON RD, ARLINGTON HEIGHTS, IL 60004-6201
(847) 222-9595
(847) 222-9565
Mailing address
724 E KENSINGTON RD, ARLINGTON HEIGHTS, IL 60004-6201
(847) 222-9595
(847) 222-9565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119123
—
IL
Enumeration date
05/15/2008
Last updated
05/21/2025
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