BRIGHTLIFE REGENERATIVE MEDICAL CLINIC SC
NPI 1548736796
Clinic/Center in Libertyville, IL

Active since October 15, 2018
1580 S MILWAUKEE AVE STE 102, LIBERTYVILLE, IL 60048(847) 680-9500 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2019, Dec 4, 2018, Oct 15, 2018 (3 updates tracked since 2018).

About Brightlife Regenerative Medical Clinic Sc NPPES

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

BRIGHTLIFE REGENERATIVE MEDICAL CLINIC SC (NPI 1548736796) is a healthcare organization registered as a clinic/center in Libertyville, Illinois and active in the NPI registry since October 2018. The organization lists Steven C Burlison, President, as its authorized official.

NPPES Registry Identity

NPI1548736796
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRIGHTLIFE REGENERATIVE MEDICAL CLINIC SC
Location Address1580 S MILWAUKEE AVE STE 102Libertyville, IL 60048-3770
Mailing Address1580 S Milwaukee Ave Ste 102Libertyville, IL 60048-3770 · (847) 680-9500
Organization SubpartNo
Authorized OfficialSteven C BurlisonPresident · (847) 680-9500
Enumeration DateOctober 15, 2018
Last NPPES UpdateNovember 27, 20193 updates tracked since enumeration
NPI 1548736796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1580 S MILWAUKEE AVE 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 Brightlife Regenerative Medical Clinic Sc's NPI number?

The NPI number for Brightlife Regenerative Medical Clinic Sc is 1548736796. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Brightlife Regenerative Medical Clinic Sc located?

Brightlife Regenerative Medical Clinic Sc is located at 1580 S Milwaukee Ave Ste 102, Libertyville, IL 60048. The listed phone number is (847) 680-9500.

What is Brightlife Regenerative Medical Clinic Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brightlife Regenerative Medical Clinic Sc was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.