JEFFERY LONG

HERSCHER, IL
NPI1932284700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-075630)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
-- JEFFERY LONG MD
692 N. MAPLE
HERSCHER, IL 60941
Phone number: 815-426-2020
Mailing Address
-- JEFFERY LONG MD
555 W COURT ST
KANKAKEE, IL 60901-3664
Phone number: 815-937-2284
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