Individual
MRS. MELISSA J. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
3880 SALEM LAKE DR, F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
22285 N PEPPER RD STE 401, LAKE BARRINGTON, IL 60010-2542
(847) 839-4391
(847) 882-6228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010475
IL
363LF0000X
Family Nurse Practitioner
209010475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209010475
—
IL
Enumeration date
06/21/2013
Last updated
04/10/2026
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