NPI 1700743663

Justin D Seyl

Practitioner Prevention Professional Libertyville, IL

Practice location

Address: 1880 W Winchester Rd STE 102, Libertyville, IL 60048-5321
Phone: (847) 717-8357

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 08271996 (IL)

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Registry record

NPI: 1700743663
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2026
Record last updated: 5 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.