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Individual
DR. TIMOTHY J LONG
Active
Individual
DR. TIMOTHY J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036094444
IL
Other
Enumeration date
07/25/2006
Last updated
10/29/2020
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