MICHAEL E LONGEVIN MDSC
NPI 1578870556
Urology in Peoria, IL

Q: What is Michael E Longevin Mdsc's NPI number?

The NPI number for Michael E Longevin Mdsc is 1578870556. It was assigned to this organization in the NPPES registry on September 11, 2010.

Q: What is Michael E Longevin Mdsc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since September 11, 2010

5401 N KNOXVILLE AVE, SUITE 112, PEORIA, IL 61614(309) 692-5828(309) 692-5904 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael E Longevin Mdsc NPPES

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

MICHAEL E LONGEVIN MDSC (NPI 1578870556) is a healthcare organization registered as an urology in Peoria, Illinois and active in the NPI registry since September 2010. The organization lists Michael E Longevin, President, as its authorized official.

NPPES Registry Identity

NPI1578870556

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameMICHAEL E LONGEVIN MDSC

Location Address5401 N KNOXVILLE AVE, SUITE 112Peoria, IL 61614-5098

Mailing Address5401 N Knoxville Ave, Suite 112Peoria, IL 61614-5098 · (309) 692-5828 · Fax (309) 692-5904

Phone(309) 692-5828

Fax(309) 692-5904

Organization SubpartNo

Authorized OfficialMichael E LongevinPresident · (309) 692-5828

Enumeration DateSeptember 11, 2010

Last NPPES UpdateSeptember 23, 2010

✔ NPI 1578870556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 036-072215

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5401 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 1

Medicare PIN756760

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

YIBING LI MD

Physical Medicine & Rehabilitation

5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614

Peoria County (309) 689-8888

PATTI L ALLY

Audiologist-Hearing Aid Fitter

5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614

Peoria County (309) 282-0887

PROCTOR HEALTH SYSTEMS

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614

Peoria County (309) 691-7800

MS. BARBARA J NALL APN

Nurse Practitioner (Women's Health)

5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614

Peoria County (309) 692-5100

SUSAN GWILLIM PT

Physical Therapist

5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614

Peoria County (309) 693-2244

MR. KEVIN M HENRY MD

Anesthesiology (Pain Medicine)

5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614

Peoria County (309) 692-7246

MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS

Nurse Practitioner (Family)

5401 N KNOXVILLE AVE
PEORIA, IL 61614

Peoria County (309) 691-1069

SUSAN J COLE, MD & ASSOCIATES

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614

Peoria County (309) 691-2311

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 Michael E Longevin Mdsc's NPI number?

The NPI number for Michael E Longevin Mdsc is 1578870556. It was assigned to this organization in the NPPES registry on September 11, 2010.

Where is Michael E Longevin Mdsc located?

Michael E Longevin Mdsc is located at 5401 N Knoxville Ave Suite 112, Peoria, IL 61614. The listed phone number is (309) 692-5828.

What is Michael E Longevin Mdsc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Michael E Longevin Mdsc was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.