ANITA L ONG

CHICAGO, IL
NPI1891806907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IL  03093236)
Additional Taxonomies207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IN  01053424A)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
ANITA L ONG MD
2929 S ELLIS AVENUE 1 KP
CHICAGO, IL 60616-3302
Phone number: 312-791-5344
Mailing Address
ANITA L ONG MD
PO BOX 88487
CHICAGO, IL 60680-1487
Phone number: 312-791-2000