Individual
DR. SHIREEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, DNP
Contact information
Practice address
2909 MACARTHUR BLVD, NORTHBROOK, IL 60062-2004
(847) 791-7654
Mailing address
6524 HOFFMAN TER, MORTON GROVE, IL 60053-1414
(847) 791-7654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011591
IL
363L00000X
Nurse Practitioner
Primary
277000033
IL
363LF0000X
Family Nurse Practitioner
209011591
IL
Other
Enumeration date
05/21/2014
Last updated
10/11/2019
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