person
Dawn Nicole Long
Private Vehicle in Plainfield, Illinois
NPI 1053859926

Dawn Nicole Long is a Private Vehicle based in Plainfield, IL. Dawn Nicole Long practices in Plainfield, IL. The NPI Number for Dawn Nicole Long is 1053859926 and holds a License No. L520-1748-2799 (Illinois).

The current practice location address for Dawn Nicole Long is 11723 Wolf Creek Ln, Plainfield, IL and can be reached out via phone at 815-557-7777. You can also correspond with Dawn Nicole Long through the mailing address at 11723 WOLF CREEK LN, PLAINFIELD, IL - 60585-2504 (mailing address contact number: 815-557-7777).

Location: 11723 Wolf Creek Ln, Plainfield, IL, 60585-2504
person
Provider Profile Details
NPI Number
1053859926
Provider Name
Dawn Nicole Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
11723 Wolf Creek Ln, Plainfield, IL, 60585-2504
Phone Number
815-557-7777
Fax Number
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3000005 01 IL EI MCO
institution
Provider Business Practice Location Address Details
Address
11723 Wolf Creek Ln
City
State
Zip
60585-2504
Phone Number
815-557-7777
Fax Number
person
Provider Business Mailing Address Details
Address
11723 Wolf Creek Ln
City
State
Zip
60585-2504
Phone Number
815-557-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
L520-1748-2799 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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