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

Novalife Medical, PLLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1417816919

Novalife Medical, PLLC is a Geriatric Medicine (Internal Medicine) Physician in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 N La Salle Dr Apt 3011
Chicago, IL 60610-3053
Phone: (773) 680-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1417816919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Singh — Credentialing Specialist · (407) 450-4491
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1201 N La Salle Dr Apt 3011, Chicago, IL 60610-3053

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