LifeRx – Family Medicine Physician, NPI 1902140585

LifeRx is a healthcare provider. based in Princeton, Illinois. specializing in Family Medicine Physician. The NPI Number for LifeRx is 1902140585

Main info

Organization
Name
LifeRx
NPI
1902140585
Phone
(415) 754-3379
Address
612 E PERU ST
Authorized Official
MR. CLYDE L BASS III PRESIDENT
Enumeration Date
20 November 2012
Last Update Date
21 September 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for LifeRx

  • 612 E PERU ST

    PRINCETON, IL 613561852

    Phone: (415) 754-3379

    Type: Mailing

  • 2412 E WASHINGTON ST STE 6

    BLOOMINGTON, IL 617044497

    Phone: (309) 585-2116

    Fax: (309) 585-2152

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61356)

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Reviews

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Frequently asked questions

How do payers reference LifeRx?
For LifeRx, use NPI 1902140585 as the unique 10-digit identifier.
Is LifeRx still an active registrant?
LifeRx carries an active NPI according to the public dataset.
What expertise is attributed to LifeRx?
LifeRx's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is LifeRx located near Princeton?
LifeRx currently maps to Princeton, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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