Libertyville Longevity and Light Center

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

LIBERTYVILLE LONGEVITY AND LIGHT CENTER

Practice address

1880 W Winchester Rd Ste 102
Libertyville, IL 60048-5321

Phone

(847) 717-8357

NPI assigned

Dec 29, 2025

Last updated

Dec 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin D Seyl, CERTIFIED HBOT TECHNPI 1700743663

Title

Owner

Phone

(615) 336-6506

Specialties & licenses 1

Addresses

Tax ID family

Libertyville Longevity and Light Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Libertyville Longevity and Light Center

  • Clinic/Center
  • Libertyville, IL
  • NPI 1972460848
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin D Seyl

  • Prevention Professional
  • Libertyville, IL
  • NPI 1700743663
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1154287639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD STE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485321",
            "telephone_number": "847-717-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD STE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485321",
            "telephone_number": "847-717-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTYVILLE LONGEVITY AND LIGHT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "SEYL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-336-6506",
        "authorized_official_credential": "CERTIFIED HBOT TECH"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lezon, DPT
• Liberty Anesthesia Services LLC
• Libertyville Ankle & Foot Clinic, Inc
• Libertyville Counseling LTD (Archway Counseling Group)
• Libertyville Imaging Associates, Inc
• Libertyville Longevity and Light Center
• Libertyville Manor
• Libertyville Manor Extended Care Facility, Inc.
• Libertyville Neurosurgery, LLC
• Libertyville OBGYN S.C.

• Prevention Professional in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Prevention Professional in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.