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Organization
LONGEVITY THERAPY AND WELLNESS OF GRAYSLAKE LLC
Active
Organization
LONGEVITY THERAPY AND WELLNESS OF GRAYSLAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SCHULTZ (OWNER/THERAPIST)
(847) 668-8813
Entity
Organization
Contact information
Practice address
100 S ATKINSON RD STE 213, GRAYSLAKE, IL 60030-7820
(847) 668-8813
Mailing address
795 WALTON LN, GRAYSLAKE, IL 60030-3425
(847) 668-8813
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
05/18/2026
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