SearchIllinoisPrivate Vehicle

Dawn Long

NPI 1053859926 · on the registry since 2017 · sole proprietor

Practice

Address
11723 Wolf Creek Ln
Plainfield, IL 60585
Phone
(815) 557-7777

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois