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Andrew Long
Student in an Organized Health Care Education/Training Program in Downers Grove, Illinois
NPI 1780110957

Andrew Long is a Student in an Organized Health Care Education/Training Program based in Downers Grove, IL. Andrew Long practices in Downers Grove, IL. The NPI Number for Andrew Long is 1780110957 and holds a License No. (Illinois).

The current practice location address for Andrew Long is 1321 68Th St, Downers Grove, IL and can be reached out via phone at 630-200-7954. You can also correspond with Andrew Long through the mailing address at 1321 68TH STREET, DOWNERS GROVE, IL - 60516 (mailing address contact number: 630-200-7954).

Location: 1321 68Th St, Downers Grove, IL, 60516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780110957
Provider Name
Andrew Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
1321 68Th St, Downers Grove, IL, 60516
Phone Number
630-200-7954
Fax Number
Provider Enumeration Date
05/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1321 68Th St
City
Downers Grove
State
Illinois
Zip
60516-3339
Phone Number
630-200-7954
Fax Number
person
Provider Business Mailing Address Details
Address
1321 68Th Street
City
Downers Grove
State
Illinois
Zip
60516
Phone Number
630-200-7954
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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