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

Libertyville Longevity and Light Center

Organization Prevention Professional · NPI 1154287639

Libertyville Longevity and Light Center is a Prevention Professional in Libertyville, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1880 W Winchester Rd Ste 102
Libertyville, IL 60048-5321
Phone: (847) 717-8357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X

Record details

NPI number1154287639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Seyl — Owner · (615) 336-6506
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address1880 W Winchester Rd Ste 102, Libertyville, IL 60048-5321

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