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Individual

TIMOTHY R LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25 N WINFIELD RD STE 400, WINFIELD, IL 60190-1379
(630) 456-7178
(630) 456-7486
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036129689
IL

Other

Enumeration date
07/10/2009
Last updated
01/07/2022
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