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

Brightlife Regenerative Medical Clinic SC

Organization Clinic/Center · NPI 1548736796

Brightlife Regenerative Medical Clinic SC is a Clinic/Center in Libertyville, Illinois. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1580 S Milwaukee Ave Ste 102
Libertyville, IL 60048-3770
Phone: (847) 680-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1548736796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Burlison — President · (847) 680-9500
NPI enumeratedOctober 15, 2018
Last updated in NPPESNovember 27, 2019
Mailing address1580 S Milwaukee Ave Ste 102, Libertyville, IL 60048-3770

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