Longevity Health and Fitness, Inc.
NPI #1639700776 in St Charles, Illinois
Provider Information
- NPI Number
- 1639700776
- Entity Type
- Organization
- Organization Name
- Longevity Health and Fitness, Inc.
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 28, 2020
- Last Updated
- Mar 30, 2023
Practice Location
- Address
- 1150 N 5TH AVE STE B2
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-1277
- Phone
- (331) 248-0695
Authorized Official
- Name
- DR. ROBERT C. GREGORY, DC
- Title
- OWNER/PRESIDENT
- Phone
- (331) 248-0695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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