Organization
MIDWEST ANTI-AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SHEMING (MEDICAL ASSISTANT)
(815) 464-7212
Entity
Organization
Contact information
Practice address
845 N MICHIGAN AVE, SUITE 930 E, CHICAGO, IL 60611-2252
(312) 927-2491
(312) 202-0326
Mailing address
10181 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 464-7212
(815) 464-7251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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