Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Age Management Institute

Organization Public Health & General Preventive Medicine Physician · NPI 1083052609

Chicago Age Management Institute is a Public Health & General Preventive Medicine Physician in Northbrook, Illinois. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

60 Revere Dr Ste 820
Northbrook, IL 60062-1580
Phone: (847) 905-9505
Fax: (847) 905-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1083052609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mrak Rosenbloom — Chief Medical Officer, Ceo · (847) 905-9505
Other names Lifeforce Medical Institute
NPI enumeratedJune 5, 2013
Last updated in NPPESJune 5, 2013
Mailing address60 Revere Dr Ste 820, Northbrook, IL 60062-1580

Other providers in Northbrook