Libertyville Longevity and Light Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

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

Jan 5, 2026

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

Certified Hbot Tech

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

  • Prevention Professional
  • Libertyville, IL
  • NPI 1154287639
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1972460848",
    "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": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "SEYL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CERTIFIED HBOT TECH",
        "authorized_official_telephone_number": "615-336-6506",
        "authorized_official_credential": "CERTIFIED HBOT TECH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Libertyville Oral Surgery PC (Libertyville Oral Surgery and Dental Implants)

• Clinic/Center in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Clinic/Center 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.