DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL E LONGEVIN MDSC

Active Organization

MICHAEL E LONGEVIN MDSC is a Urology organization located in PEORIA, Illinois. NPI 1578870556 is currently active in the NPPES registry. Verify at CMS.

Urology · PEORIA, IL

Registration Details

NPI Number
1578870556
Provider Type
Organization
NPI Issued
Sep 11, 2010 (15.956133412452 yrs)
Last Updated
Sep 23, 2010
License
036-072215 (IL)

Practice Information

Address
5401 N KNOXVILLE AVE
SUITE 112
PEORIA, IL, 616145098
Browse IL providers · Browse ZIP 61614
Phone
3096925828
Fax
3096925904
Primary Specialty
Urology
208800000X

Other Urology Organizations in PEORIA, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.