location
search-icon
person
Ms. Telisa Long
Private Vehicle in Park Forest, Illinois
NPI 1285866111

Telisa Long is a Private Vehicle based in Park Forest, IL. Telisa Long practices in Park Forest, IL. The NPI Number for Telisa Long is 1285866111 and holds a License No. L52081680690 (Illinois).

The current practice location address for Telisa Long is 413 Indianwood Blvd, Park Forest, IL and can be reached out via phone at 708-369-2368 and via fax at 708-747-5980.

Location: 413 Indianwood Blvd, Park Forest, IL, 60466-2247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285866111
Provider Name
Telisa Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
413 Indianwood Blvd, Park Forest, IL, 60466-2247
Phone Number
708-369-2368
Fax Number
708-747-5980
Provider Enumeration Date
08/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
413 Indianwood Blvd
City
Park Forest
State
Illinois
Zip
60466-2247
Phone Number
708-369-2368
Fax Number
708-747-5980
person
Provider Business Mailing Address Details
Address
413 Indianwood Blvd
City
Park Forest
State
Illinois
Zip
60466-2247
Phone Number
708-369-2368
Fax Number
708-747-5980
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
L52081680690 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.