MEDICARE: COURTNEY LONG

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
1	171M00000X	Case Manager/Care Coordinator
2	174H00000X	Health Educator		IL

General Provider Information

NPI Number	:	1255032736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY LONG

Provider Business Mailing Address
First Line	:	PO BOX 553
Second Line	:
City	:	HOPEDALE
State	:	IL
Zip	:	61747-0553
Country	:	US
Telephone Number	:	309-201-0620
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 GROVE ST
Second Line	:
City	:	HOPEDALE
State	:	IL
Zip	:	61747-7546
Country	:	US
Telephone Number	:	309-201-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	04/25/2023

Similar Medicare Providers

1821093980 — DR. JAMES WILLIAM SUNDAY O.D.
Practice Location Address:

107 TREMONT ST
HOPEDALE, IL
61747-7525

Practice Phone: 309-449-4042
Practice Fax: 309-449-4880

1629046024 — MRS. EMILY JO WHITSON ATC
Practice Location Address:

222 NW GROVE STREET , HOPEDALE MEDICAL COMPLEX
HOPEDALE, IL
61747

Practice Phone: 309-449-4501
Practice Fax: 309-449-4525

1033157292 — DR. ALFRED NELLO ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1205874310 — DR. MATTHEW BRANDL ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1114965225 — DR. PHILLIP JOSEPH ROSSI MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

1023056132 — DR. DAWN M VERA MD
Practice Location Address:

107 TREMONT ST , MEDICAL ARTS PHYSICIANS
HOPEDALE, IL
61747-0267

Practice Phone: 309-449-4450
Practice Fax: 309-449-4488

Directions to “ COURTNEY LONG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.