Individual
NAKIA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
719 W 61ST ST, CHICAGO, IL 60621-2855
(773) 616-5166
Mailing address
719 W 61ST ST, CHICAGO, IL 60621-2855
(773) 616-5166
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
IL
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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