Individual
DR. DENNIS A. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2210 DEAN ST, SUITE O-1, SAINT CHARLES, IL 60175-1066
(630) 377-7660
Mailing address
2210 DEAN ST, SUITE O-1, SAINT CHARLES, IL 60175-1066
(630) 377-7660
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3642582
IL
Other
Enumeration date
03/13/2007
Last updated
11/19/2007
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