# CEREESA E. LONGEST MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932730256
- **Authorized official:** DR. CEREESA E LONGEST MD (PHYSICIAN)
- **Authorized official phone:** (847) 253-4040

## Contact information

- **Practice address:** 1100 WEST CENTRAL ROAD, SUITE 205, ARLINGTON HEIGHTS, IL 60005-2465
- **Practice address phone:** (847) 253-4040
- **Practice address fax:** (847) 253-3028
- **Mailing address:** P.O. BOX 135, 117 S COOK STREET, BARRINGTON, IL 60010-4311
- **Mailing address phone:** (847) 253-4040
- **Mailing address fax:** (847) 787-1489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 09/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 036-090336 | STATE LICENSE NUMBER | IL |
| 01 | — | 1467438341 | TYPE 1 NPI | — |