DYMOND LONG

CHICAGO, IL
NPI1114463049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277001290)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209015381)
Enumeration Date2017-01-17
Last Update Date2025-06-27
Business Address
DYMOND LONG APN, FNP-BC
1715 E 95TH ST
CHICAGO, IL 60617
Phone number: 773-768-4437
Mailing Address
DYMOND LONG APN, FNP-BC
PO BOX 746715
ATLANTA, GA 30374-6715
Phone number: 773-352-1515