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1033416151
JASON LONG
CHICAGO, IL
NPI
1033416151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IL 036117184)
Enumeration Date
2011-02-25
Last Update Date
2011-02-25
Business Address
Mr. JASON LONG M.D.
5841 S. MARYLAND AVE UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL 60637
Phone number: 773-702-1000
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Mailing Address
Mr. JASON LONG M.D.
1660 N LASALLE ST 2811
CHICAGO, IL 60614-6000
Phone number: 312-315-6502
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