Search › Illinois › 103TS0200X
Jaime Long
NPI 1487128112 · on the registry since 2019
Practice
- Address
- 1001 S Fairview Ave
Park Ridge, IL 60068 - Phone
- (847) 653-3649
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-16
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