Organization
MEDICAL GROUP OF KANKAKEE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY LONG MD (DIRECTOR)
(815) 426-2020
Entity
Organization
Contact information
Practice address
692 N. MAPLE, HERSCHER, IL 60941
(815) 426-2020
Mailing address
692 N MAPLE ST, HERSCHER, IL 60941-9785
(815) 426-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
03/30/2015
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