Longevity Therapy And Wellness Of Grayslake Llc
Clinical Social Worker · Grayslake, IL
At a glance
100 S Atkinson Rd Ste 213, Grayslake, IL 60030-7820
NPPES record updated May 18, 2026. Public records can lag behind changes at a practice.
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Practice location
100 S Atkinson Rd Ste 213Grayslake, IL 60030-7820
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Clinical Social Worker
- Taxonomy code
- 1041C0700X
- Enumeration date
- Mar 12, 2026
- Record updated
- May 18, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Clinical Social Worker
1041C0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
100 S Atkinson Rd Ste 213Grayslake, IL 60030-7820
- Phone
- (847) 668-8813
Mailing address
795 WALTON LNGRAYSLAKE, IL 600303425
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