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NPI Code Detail

MEDICARE: DR. FRANCINE L LONG MD

MEDICARE: DR. FRANCINE L LONG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036065650IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063406924
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANCINE L LONG MD
Provider Business Mailing Address
First Line : 2255 MONARCH DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-4164
Country : US
Telephone Number : 630-300-1125
Fax Number : 630-300-1394
Provider Business Practice Location Address
First Line : 2255 MONARCH DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-4164
Country : US
Telephone Number : 630-300-1125
Fax Number : 630-300-1394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 02/10/2021

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