ANDREW LONG

DOWNERS GROVE, IL
NPI1780110957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-05-10
Last Update Date2017-05-10
Business Address
-- ANDREW LONG
1321 68TH ST
DOWNERS GROVE, IL 60516-3339
Phone number: 630-200-7954
Mailing Address
-- ANDREW LONG
1321 68TH STREET
DOWNERS GROVE, IL 60516
Phone number: 630-200-7954
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