Organization
LONGEVITY HEALTH AND FITNESS, INC.
Active
Other names
Longevity Health and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. GREGORY DC (OWNER/PRESIDENT)
(331) 248-0695
Entity
Organization
Contact information
Practice address
1150 N 5TH AVE STE B2, ST CHARLES, IL 60174-1277
(331) 248-0695
(331) 240-1333
Mailing address
1150 N 5TH AVE STE B2, ST CHARLES, IL 60174-1277
(331) 248-0695
(331) 240-1333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
03/30/2023
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