Organization
NOVALIFE MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA SINGH (CREDENTIALING SPECIALIST)
(407) 450-4491
Entity
Organization
Contact information
Practice address
1201 N LA SALLE DR APT 3011, CHICAGO, IL 60610-3053
(773) 680-7011
Mailing address
1201 N LA SALLE DR APT 3011, CHICAGO, IL 60610-3053
(773) 680-7011
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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