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1528081239
TIMOTHY J LONG
CHICAGO, IL
NPI
1528081239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036094444)
Enumeration Date
2006-07-25
Last Update Date
2020-10-29
Business Address
Dr. TIMOTHY J LONG MD
1276 N CLYBOURN AVE
CHICAGO, IL 60610-2089
Phone number: 312-337-1073
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Mailing Address
Dr. TIMOTHY J LONG MD
1276 N CLYBOURN AVE
CHICAGO, IL 60610-2089
Phone number: 312-337-1073
Copy
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