Longevity Centers Of Illinois Llc

LBN: Longevity Centers Of Illinois Llc
Longevity Centers Of Illinois Llc is an health care organization with primary practice located at 550 N Lake St Ste 1 , Mundelein IL 60060-1827. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Longevity Centers Of Illinois Llc can be contacted via phone (847) 593-8460, or through Katsnelson, Yan via phone (847) 774-5300.

Contact Information

Primary practice address
550 N Lake St Ste 1 Mundelein IL 60060-1827
Phone: (847) 593-8460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Katsnelson, Yan
Phone: (847) 774-5300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1093427593
LBN Legal business name Longevity Centers Of Illinois Llc
DBA Doing business as
Authorized official Katsnelson, Yan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2022
Last updated Apr 16th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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