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

Brightlife Regenerative Medical Clinic Lombard SC

Organization General Practice Physician · NPI 1306465786

Brightlife Regenerative Medical Clinic Lombard SC is a General Practice Physician in Lombard, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

442 E Roosevelt Rd
Lombard, IL 60148-4630
Phone: (630) 261-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1306465786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Burlison — President · (630) 261-0001
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 17, 2020
Certification dateApril 17, 2020
Mailing address442 E Roosevelt Rd, Lombard, IL 60148-4630

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