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1003045071
TIMOTHY R LONG
WINFIELD, IL
NPI
1003045071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: IL 036129689)
Enumeration Date
2009-07-10
Last Update Date
2022-01-07
Business Address
TIMOTHY R LONG D.O.
25 N WINFIELD RD STE 400
WINFIELD, IL 60190-1379
Phone number: 630-456-7178
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Mailing Address
TIMOTHY R LONG D.O.
1860 PAYSPHERE CIR
CHICAGO, IL 60674-0018
Phone number: 630-469-9200
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