Longevity Therapy and Wellness of Grayslake LLC
NPI 1124975776ActiveOrganization· Social Worker, Clinical· Grayslake, IL
Social Worker, Clinical in Grayslake, Illinois, registered in NPPES in March 2026. The authorized official on file is Brian Schultz, Owner/Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124975776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2026 |
| Last updated in NPPES | May 18, 2026 |
| Certified by provider | May 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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