Individual
DR. CEREESA E LONGEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 W CENTRAL RD, SUITE 205, ARLINGTON HEIGHTS, IL 60005-2402
(847) 253-4040
(847) 253-3028
Mailing address
1100 W CENTRAL RD, SUITE 205, ARLINGTON HEIGHTS, IL 60005-2402
(847) 253-4040
(847) 253-3028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036090336
IL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
036090336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036090336
—
IL
Enumeration date
12/21/2005
Last updated
01/10/2020
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