| Brightlife Regenerative Medical Clinic Sc | |
|
1580 S Milwaukee Ave Ste 102 Libertyville IL 60048-3770 | |
| (847) 680-9500 | |
| Not Available |
| Full Name | Brightlife Regenerative Medical Clinic Sc |
|---|---|
| Speciality | Clinic/center |
| Location | 1580 S Milwaukee Ave Ste 102, Libertyville, Illinois |
| Authorized Official Name and Position | Steven C Burlison (PRESIDENT) |
| Authorized Official Contact | 8476809500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightlife Regenerative Medical Clinic Sc 1580 S Milwaukee Ave Ste 102 Libertyville IL 60048-3770 Ph: (847) 680-9500 | Brightlife Regenerative Medical Clinic Sc 1580 S Milwaukee Ave Ste 102 Libertyville IL 60048-3770 Ph: (847) 680-9500 |
| NPI Number | 1548736796 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548736796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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