Lifehouse Health Group,llc
Clinic/Center in Dixmoor, IL. Organization (NPI-2).
NPI number1982182994
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1982182994
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifehouse Health Group,llc
- Organization subpart
- No
- Enumeration date
- Aug 1, 2018
- Last updated
- Aug 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
14127 Levitt AveDixmoor, IL 60406
Phone 847-839-1525
Mailing address
800 E Northwest Hwy Ste 713Palatine, IL 60074-6519
Phone 847-839-1525
Authorized official
Jesse Fuller
Manager
8478391525
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.