Longevity Clinical Ltc Associates of Illinois PLLC
NPI 1407422447 · Primary Care Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Longevity Clinical Ltc Associates of Illinois PLLC is a Primary Care Nurse Practitioner organization in Chicago, IL (NPI 1407422447).
Provider details
- NPI number
- 1407422447
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Diane Vincur, Clinical Support Talent Specialist(561) 815-2427
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-01
- Last updated
- 2021-06-01
- Certified
- 2021-06-01
Frequently asked questions
- What is Longevity Clinical Ltc Associates of Illinois PLLC's NPI number?
- Longevity Clinical Ltc Associates of Illinois PLLC's National Provider Identifier (NPI) is 1407422447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Clinical Ltc Associates of Illinois PLLC?
- Longevity Clinical Ltc Associates of Illinois PLLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Longevity Clinical Ltc Associates of Illinois PLLC located?
- Longevity Clinical Ltc Associates of Illinois PLLC's practice location on file with NPPES is 6300 N California Ave, Chicago, IL 60659-1702.
- What is Longevity Clinical Ltc Associates of Illinois PLLC's phone number?
- The practice phone number listed in the NPPES registry for Longevity Clinical Ltc Associates of Illinois PLLC is (773) 973-1900.
- Does Longevity Clinical Ltc Associates of Illinois PLLC accept Medicare?
- Longevity Clinical Ltc Associates of Illinois PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Longevity Clinical Ltc Associates of Illinois PLLC?
- The authorized official listed on Longevity Clinical Ltc Associates of Illinois PLLC's NPPES record is Diane Vincur, Clinical Support Talent Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Clinical Ltc Associates of Illinois PLLC's NPI active?
- Yes — Longevity Clinical Ltc Associates of Illinois PLLC's NPI (1407422447) is active in the NPPES registry as of the last update on 2021-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.