LIBERTYVILLE LONGEVITY AND LIGHT CENTER
NPI 1154287639
Prevention Professional in Libertyville, IL

Active since December 29, 2025
1880 W WINCHESTER RD STE 102, LIBERTYVILLE, IL 60048(847) 717-8357 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Libertyville Longevity And Light Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTYVILLE LONGEVITY AND LIGHT CENTER (NPI 1154287639) is a healthcare organization registered as a prevention professional in Libertyville, Illinois and active in the NPI registry since December 2025. The organization lists Justin D Seyl, Owner, as its authorized official.

NPPES Registry Identity

NPI1154287639
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameLIBERTYVILLE LONGEVITY AND LIGHT CENTER
Location Address1880 W WINCHESTER RD STE 102Libertyville, IL 60048-5321
Mailing Address1880 W Winchester Rd Ste 102Libertyville, IL 60048-5321 · (847) 717-8357
Organization SubpartNo
Authorized OfficialJustin D SeylOwner · (615) 336-6506
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
NPI 1154287639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

1880 W WINCHESTER RD STE 102, Libertyville, IL 60048

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prevention Professional
1880 W WINCHESTER RD STE 102
LIBERTYVILLE, IL 60048
Clinic/Center
1880 W WINCHESTER RD STE 102
LIBERTYVILLE, IL 60048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Libertyville Longevity And Light Center's NPI number?

The NPI number for Libertyville Longevity And Light Center is 1154287639. It was assigned to this organization in the NPPES registry on December 29, 2025.

Where is Libertyville Longevity And Light Center located?

Libertyville Longevity And Light Center is located at 1880 W Winchester Rd Ste 102, Libertyville, IL 60048. The listed phone number is (847) 717-8357.

What is Libertyville Longevity And Light Center's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Libertyville Longevity And Light Center was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.