Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longevity Therapy and Wellness of Grayslake LLC

Organization Clinical Social Worker · NPI 1124975776

Longevity Therapy and Wellness of Grayslake LLC provides Clinical Social Worker services in Grayslake, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 S Atkinson Rd Ste 213
Grayslake, IL 60030-7820
Phone: (847) 668-8813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1124975776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Schultz — Owner/Therapist · (847) 668-8813
NPI enumeratedMarch 12, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address795 Walton Ln, Grayslake, IL 60030-3425

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