DYMOND LONG


Address: 1715 E 95th St, Chicago, IL 60617
Phone: 7737684437

DYMOND LONG (NPI# 1114463049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114463049
Entity Type Individual
Full Name DYMOND LONG
Credential APN, FNP-BC
Practice Address 1715 E 95th St
Chicago
IL 60617
Mailing Address 1715 E 95th St
Chicago
IL 60617-4708
Practice Telephone 7737684437
Practice Fax Number 7735643515
Mailing Telephone 7737684437
Mailing Fax Number 7735643515
Enumeration Date 2017-01-17
Last Update Date 2018-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209015381 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1715 E 95TH ST
City CHICAGO
State IL
Zip Code 60617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003082488 Kevin Paul Malone Podiatrist 1715 E 95th St, Chicago, IL 60617-4708 2008-05-05
1215537790 Emily Leos Nurse Practitioner 1715 E 95th St, Chicago, IL 60617-4708 2020-10-26
1063071819 Abiodun Josephine Atomori Nurse Practitioner 1715 E 95th St, Chicago, IL 60617-4708 2019-06-06
1841777687 Kathryn Allen Physician Assistant 1715 E 95th St, Chicago, IL 60617-4708 2018-07-24
1205340080 Erica Minnion-klyce Nurse Practitioner 1715 E 95th St, Chicago, IL 60617-4708 2017-12-01
1790297562 Kristina Byrd Social Worker 1715 E 95th St, Chicago, IL 60617-4708 2017-11-01
1063897155 Nnebuife Nkem Johnson Nurse Practitioner 1715 E 95th St, Chicago, IL 60617-4708 2015-07-30
1770977662 Kevin Stephens Jr. Family Medicine 1715 E 95th St, Chicago, IL 60617-4708 2015-03-27
1588076699 D2 Dental At Oak Street, P.C. Dentist 1715 E 95th St, Chicago, IL 60617-4708 2014-05-22
1508120783 Michelle Morrison Family Medicine 1715 E 95th St, Chicago, IL 60617-4708 2012-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871102921 Manuel Lule Physical Therapy Assistant 9535 S Jeffery Boulevard, Chicago, IL 60617 2020-07-24
1083253546 Vanaja Thotten Internal Medicine 8012 S.crandon Ave, Chicago, IL 60617 2020-01-02
1427527365 Stony Island Dental PC Dentist 1600 E 93rd Street, Chicago, IL 60617 2018-11-21
1871060301 Tamika Nicole Whitehead Social Worker 2822 East 83rd Street, Chicago, IL 60617 2018-11-02
1528543774 Felicia Nwankwo Nurse Practitioner 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 2018-10-03
1972099307 David Phan Optometrist 1753 E 95th St Ste B-100, Chicago, IL 60617 2018-07-09
1831607340 Pamela Evette Ewing Counselor 9145 S. Merrill Ave, Chicago, IL 60617 2018-01-18
1366976631 Ali Mostafa Serhal Radiology 240 E. Huron St, Suite 1-203, Chicago, IL 60617 2017-04-13
1447784921 1915-25 95th St., LLC Clinic/Center 1915 E 95th St, Chicago, IL 60617 2017-04-12
1881140408 Yeferson Laverde Social Worker 3062 East 31st, Chicago, IL 60617 2016-09-01
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1881291706 Rita Elue Nurse Practitioner 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 2020-10-04
1558976514 Janice Nicole Kinney Nurse Practitioner 10127 S Harding Ave, Chicago, IL 60655-3748 2020-09-15
1881209278 Monique Graves Nurse Practitioner 4912 W Adams St Apt 2, Chicago, IL 60644-4445 2020-09-11
1194339721 Maureen Iyesogie Diji Nurse Practitioner 4658 S Ellis Ave, Chicago, IL 60653-3625 2020-09-01
1669085395 Emily Calderon Nurse Practitioner 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 2020-08-24
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Competitor

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City CHICAGO
Zip Code 60617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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