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

Michael E Longevin Mdsc

Organization Urology Physician · NPI 1578870556

Michael E Longevin Mdsc is an Urology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

5401 N Knoxville Ave Ste 112
Peoria, IL 61614-5098
Phone: (309) 692-5828
Fax: (309) 692-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036-072215 (IL)

Record details

NPI number1578870556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Longevin — President · (309) 692-5828
NPI enumeratedSeptember 11, 2010
Last updated in NPPESSeptember 23, 2010
Mailing address5401 N Knoxville Ave, Suite 112, Peoria, IL 61614-5098

Other providers in Peoria