Longevity Health and Fitness, Inc.
NPI 1639700776ActiveOrganization· Chiropractor· St Charles, IL
Chiropractor in St Charles, Illinois, registered in NPPES in January 2020. The authorized official on file is Robert C. Gregory, DC, Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639700776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2020 |
| Last updated in NPPES | Mar 30, 2023 |
| Certified by provider | Mar 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
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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