Organization · Type 2 NPI
Longevity Centers of Illinois LLC
Diagnostic Radiology Physician · Mundelein, IL
NPI number
1093427593
Active
Practice location
550 N Lake St Ste 1
Mundelein, IL 60060-1827
Mailing address
PO Box 451
Northbrook, IL 60065-0451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Other diagnostic radiology physician providers in Mundelein
About NPI 1093427593
Longevity Centers of Illinois LLC's National Provider Identifier is 1093427593, issued on Dec 16, 2022. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mundelein, IL. The record was last updated on Apr 16, 2024.