Organization
MICHAEL E LONGEVIN MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E LONGEVIN MD (PRESIDENT)
(309) 692-5828
Entity
Organization
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 112, PEORIA, IL 61614-5098
(309) 692-5828
(309) 692-5904
Mailing address
5401 N KNOXVILLE AVE, SUITE 112, PEORIA, IL 61614-5098
(309) 692-5828
(309) 692-5904
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-072215
IL
Other
Enumeration date
09/11/2010
Last updated
09/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up