Dennis A. Long, M.d., S.c. | |
2210 Dean St Suite O-1 Saint Charles IL 60175-1066 | |
(630) 377-7660 | |
(630) 587-4982 |
Full Name | Dennis A. Long, M.d., S.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2210 Dean St, Saint Charles, Illinois |
Authorized Official Name and Position | Dennis A. Long (PRESIDENT) |
Authorized Official Contact | 6303777660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dennis A. Long, M.d., S.c. 2210 Dean St Suite O-1 Saint Charles IL 60175-1066 Ph: (630) 377-7660 | Dennis A. Long, M.d., S.c. 2210 Dean St Suite O-1 Saint Charles IL 60175-1066 Ph: (630) 377-7660 |
NPI Number | 1023293586 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 01/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023293586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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