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LONGEVITY HEALTH AND WELLNESS
NPI 1770204117
Chiropractor in Peoria, IL

Active since September 05, 2022
3008 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 678-0963 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2022, Sep 5, 2022 (2 updates tracked since 2022).

About Longevity Health And Wellness NPPES

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

LONGEVITY HEALTH AND WELLNESS (NPI 1770204117) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since September 2022. The organization lists Brandie Long, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1770204117
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLONGEVITY HEALTH AND WELLNESS
Location Address3008 W WILLOW KNOLLS DRPeoria, IL 61614-1083
Mailing Address8511 Country View DrManito, IL 61546-8619 · (309) 678-0963
Phone(309) 678-0963
Organization SubpartNo
Authorized OfficialBrandie LongOwner/chiropractor · (309) 678-0963
Enumeration DateSeptember 5, 2022
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1770204117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3008 W WILLOW KNOLLS DR, Peoria, IL 61614
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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

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 Longevity Health And Wellness's NPI number?

The NPI number for Longevity Health And Wellness is 1770204117. It was assigned to this organization in the NPPES registry on September 5, 2022.

Where is Longevity Health And Wellness located?

Longevity Health And Wellness is located at 3008 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 678-0963.

What is Longevity Health And Wellness's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Longevity Health And Wellness was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.