Justin D Seyl

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

08271996 Issued in IL

Practice address

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

Phone

(847) 717-8357

NPI assigned

Jan 5, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Libertyville Longevity and Light Center

  • Prevention Professional
  • Libertyville, IL
  • NPI 1154287639
  NPD Authorized official
• Libertyville Longevity and Light Center

  • Clinic/Center
  • Libertyville, IL
  • NPI 1972460848
  NPD Authorized official

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1700743663",
    "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": {
        "last_name": "SEYL",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "IL",
            "license": "08271996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Septon Dermatology Associates, LLC
• Robert M Septon, M.D.
• Jenny M Seputis
• Samantha Serviss
• Lauren Marie Sexton
• Rebecca Seymour, DPT
• Isabella Sgarbossa, M.S. CCC-SLP
• James Hubert Shackelford, PH.D.
• Brenda Nichols Shafer, LSW
• Murjana Shah-Vonau

• 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 Jan 5, 2026; 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.