# LIBERTYVILLE LONGEVITY AND LIGHT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154287639
- **Authorized official:** JUSTIN D SEYL CERTIFIED HBOT TECH (OWNER)
- **Authorized official phone:** (615) 336-6506

## Contact information

- **Practice address:** 1880 W WINCHESTER RD STE 102, LIBERTYVILLE, IL 60048-5321
- **Practice address phone:** (847) 717-8357
- **Mailing address:** 1880 W WINCHESTER RD STE 102, LIBERTYVILLE, IL 60048-5321
- **Mailing address phone:** (847) 717-8357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | — | NULL | Yes |
| 405300000X | Prevention Professional | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2025
- **Last updated:** 12/29/2025