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Dr. Scott D. Long, MD
Pediatric Radiology Physician in Springfield, Illinois
NPI 1679686679

Scott D. Long is a Pediatric Radiology Physician based in East Peoria, IL and is specialized in Pediatric Radiology. Scott D. Long practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Scott D. Long is 1679686679 and holds a License No. 036-091122 (Illinois).

The current practice location address for Scott D. Long is 800 E Carpenter St, Springfield, IL and can be reached out via phone at 217-544-6464 and via fax at 217-525-5671. You can also correspond with Scott D. Long through the mailing address at 111 OAKWOOD RD, EAST PEORIA, IL - 61611-1853 (mailing address contact number: 309-740-4272).

Location: 800 E Carpenter St, Springfield, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679686679
Provider Name
Scott D. Long
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 E Carpenter St, Springfield, IL, 61611-1853
Phone Number
217-544-6464
Fax Number
217-525-5671
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300076361 01 IL RR MEDICARE
300076348 01 IL RR MEDICARE
36091122 05 IL
institution
Provider Business Practice Location Address Details
Address
800 E Carpenter St
City
Springfield
State
Illinois
Zip
62702-5324
Phone Number
217-544-6464
Fax Number
217-525-5671
person
Provider Business Mailing Address Details
Address
800 E Carpenter St
City
Springfield
State
Illinois
Zip
62702-5324
Phone Number
217-544-6464
Fax Number
217-525-5671
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
036091122 (Illinois)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036-091122 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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