TIMOTHY JOHN LONGO

CHICAGO, IL
NPI1760904171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.031249)
Enumeration Date2017-07-07
Last Update Date2017-07-07
Business Address
Dr. TIMOTHY JOHN LONGO DDS
4039 W NORTH AVE
CHICAGO, IL 60639-5219
Phone number: 773-782-4800
Mailing Address
Dr. TIMOTHY JOHN LONGO DDS
350 N CLARK STREET STE 600 C/O KOS SERVICES, ATTN: HR
CHICAGO, IL 60654-4782
Phone number:
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