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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.

Location: 11723 Wolf Creek Ln, Plainfield, IL, 60585-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Plainfield
State
Illinois
Zip
60585-2504
Phone Number
815-557-7777
Fax Number
person
Provider Business Mailing Address Details
Address
11723 Wolf Creek Ln
City
Plainfield
State
Illinois
Zip
60585-2504
Phone Number
815-557-7777
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
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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