| NPI | 1255606778 |
|---|---|
| Doing Business As | LIFEFORCE MEDICAL INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | MARK ROSENBLOOM Chief Medical Officer 773-649-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 036.085053) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |