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

Life Gate Pharmacy LLC

Organization Emergency Medicine Physician · NPI 1558788760

Life Gate Pharmacy LLC is an Emergency Medicine Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5241 S Cicero Ave
Chicago, IL 60632
Phone: (708) 557-3155
Fax: (773) 284-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8559 W 121st St, Palos Park, IL 60464-1230 — (708) 557-3155

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016003225 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036059796 (IL)

Record details

NPI number1558788760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Herzog — Owner · (708) 557-3155
NPI enumeratedMarch 25, 2014
Last updated in NPPESSeptember 17, 2018
Mailing address8559 W 121st St, Palos Park, IL 60464-1230

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