| NPI | 1003376245 |
|---|---|
| Doing Business As | CHICAGO ANTI AGING INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LOREN DAVIS President 708-267-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |