MARIAH LONG (NPI# 1306470364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306470364 |
| Entity Type | Individual |
| Full Name | MARIAH LONG |
| Practice Address |
2520 Elisha Ave Zion IL 60099-2676 |
| Practice Telephone | 8478724072 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1301X | 164.007783 | IA |
| Street Address |
2520 ELISHA AVE |
| City | ZION |
| State | IL |
| Zip Code | 60099-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115769 | Ashwin Murigeppa Sheelvanth | Internal Medicine | 2520 Elisha Ave, Zion, IL 60099-2676 | 2005-09-20 |
| 1881153575 | Deborah Green | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-13 |
| 1740748094 | Amy Anne Wisniewski | Registered Nurse | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-06 |
| 1144794983 | Williams K. Ojo | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-01-15 |
| 1912486135 | Julia Fechtner | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1417436791 | Jarrett Cramer Stoll | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1982182135 | Danielle Hill | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1295213395 | Kirsten Kane | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1932686482 | Sadie Dahlk | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-26 |
| 1477030948 | Hilary Benway | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
| Find all providers in zip 60099 | ||||
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| 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.