Brandie Long is a Chiropractor based in Oak Brook, IL. Brandie Long practices in Peoria, IL. The NPI Number for Brandie Long is 1356849772 and holds a License No. 038012626 (Illinois).
The current practice location address for Brandie Long is 4125 N Sheridan Rd Ste 14, Peoria, IL and can be reached out via phone at 630-468-1824.
Location: 4125 N Sheridan Rd Ste 14, Peoria, IL, 60523-1266
Provider Profile Details
NPI Number
1356849772
Provider Name
Brandie Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
4125 N Sheridan Rd Ste 14, Peoria, IL, 60523-1266
Phone Number
630-468-1824
Fax Number
Provider Enumeration Date
01/31/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001001001 | 01 | IL | DONT HAVE |
Provider Business Practice Location Address Details
Address
4125 N Sheridan Rd Ste 14
City
State
Zip
61614-7181
Phone Number
630-468-1824
Fax Number
Provider Business Mailing Address Details
Address
4125 N Sheridan Rd Ste 14
City
State
Zip
61614-7181
Phone Number
630-468-1824
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038012626 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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