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

Longevity Accountable Care, PA

Organization Family Medicine Physician · NPI 1144078965

Longevity Accountable Care, PA is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6300 N California Ave
Chicago, IL 60659-1702
Phone: (773) 973-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1144078965
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLongevity Accountable Care, PA
Authorized official Diane Vincur — Practice Manager · (561) 815-2427
NPI enumeratedMay 7, 2024
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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