ANDREW LONG (NPI# 1780110957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780110957 |
| Entity Type | Individual |
| Full Name | ANDREW LONG |
| Practice Address |
1321 68th St Downers Grove IL 60516-3339 |
| Mailing Address |
1321 68th Street Downers Grove IL 60516 |
| Practice Telephone | 6302007954 |
| Mailing Telephone | 6302007954 |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933511 | Andrew Long | Student in an Organized Health Care Education/Training Program | 1632 Concordia Dr, Pasadena, MD 21122-6008 | 2019-07-11 |
| 1861598245 | Andrew C Long | Dentist | 299 Hess Blvd, Lancaster, PA 17601 | 2006-09-15 |
| 1730790460 | Andrew Long | Pharmacist | 4325 Highway 66 S, Rogersville, TN 37857-3155 | 2020-08-14 |
| 1265097133 | Andrew Long | Behavior Technician | 1675 Sw Marlow Ave Ste 200, Portland, OR 97225-5102 | 2019-05-07 |
| 1093200438 | Andrew Long | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-27 |
| 1033587860 | Andrew Long | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2015-09-10 |
| 1992182133 | Andrew Morgan Long | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Room 1234, Portland, ME 04102-3134 | 2015-04-27 |
| 1982966420 | Andrew Mccraw Long | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2012-06-11 |
| 1841568649 | Andrew Brad Long | Pharmacist | 3948 Airport Blvd, Mobile, AL 36608-1624 | 2011-12-07 |
| 1679747265 | Andrew Wallays Long | Radiology | 725 North St, Pittsfield, MA 01201-4109 | 2008-04-15 |
| Street Address |
1321 68TH ST |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60516-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015432 | Costula Cassiani | Behavior Technician | 20w438 Camder Drive, Downers Grove, IL 60516 | 2018-06-02 |
| 1346769130 | Zahra Bohri | Dietitian, Registered | 6337 Blodgett Ct, Downers Grove, IL 60516 | 2017-09-13 |
| 1033567359 | Samuel Brooks Allen | Dentist | 6800 Main St., Third Floor, Downers Grove, IL 60516 | 2016-05-26 |
| 1396019469 | Beverly Woltman | Technician/Technologist | 6800 S. Main Street, Suite Ll5, Downers Grove, IL 60516 | 2012-03-06 |
| 1992080642 | Verna Dianne Velazquez | Counselor | 5630 Hillcrest Rd, Downers Grove, IL 60516 | 2011-10-13 |
| 1598048274 | Rabia Ansari | Optometrist | 1530 W 75th St, Downers Grove, IL 60516 | 2011-09-20 |
| 1487971545 | Brilliant Dental LLC | Dentist | 1400 W 75th St, B1, Downers Grove, IL 60516 | 2010-04-29 |
| 1235466558 | Erika D Schultz | Social Worker | 11008 Palmer St., Downers Grove, IL 60516 | 2009-11-06 |
| 1124253836 | Main Street Chiropractic and Wellness Center Ltd | Clinic/Center | 6234 S Main Street, Downers Grove, IL 60516 | 2009-05-26 |
| 1841439320 | Lisa Marie Burknap | Behavioral Analyst | 9 South 329 Cumnor, Downers Grove, IL 60516 | 2009-02-06 |
| Find all providers in zip 60516 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889579 | Thomas Richard Adams | Student in an Organized Health Care Education/Training Program | 4628 Highland Ave, Downers Grove, IL 60515-2814 | 2020-04-09 |
| 1295293488 | Kristen Paulius | Student in an Organized Health Care Education/Training Program | 4635 Woodward Ave, Downers Grove, IL 60515-2632 | 2019-03-06 |
| 1467985226 | Alexander Jan Kieturakis | Student in an Organized Health Care Education/Training Program | 4835 Belmont Rd Apt 8, Downers Grove, IL 60515-3249 | 2017-04-09 |
| 1922429398 | Caitlin Zaremba | Student in an Organized Health Care Education/Training Program | 4521 Middaugh Ave, Downers Grove, IL 60515-2761 | 2014-01-02 |
| 1215256607 | Kathryn Marie Meister | Student in an Organized Health Care Education/Training Program | 6009 Ridgewood Cir, Downers Grove, IL 60516-1779 | 2010-05-24 |
| 1356959704 | Kelly Suzanne Strumillo | Student in an Organized Health Care Education/Training Program | 1001 Maple Ave, Downers Grove, IL 60515-4928 | 2020-07-21 |
| 1215552807 | Thomas O Kenfield-kelleher | Student in an Organized Health Care Education/Training Program | 555 31st St, Downers Grove, IL 60515-1235 | 2020-06-10 |
| 1710502372 | Ryan Glendenning | Student in an Organized Health Care Education/Training Program | 555 31st St, Downers Grove, IL 60515-1235 | 2020-06-10 |
| 1427673029 | Nabila Shamshuddin | Student in an Organized Health Care Education/Training Program | 555 31st St, Downers Grove, IL 60515-1235 | 2020-06-10 |
| 1013531797 | Charbel Barrak | Student in an Organized Health Care Education/Training Program | 555 31st St, Downers Grove, IL 60515-1235 | 2020-05-29 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60516 |
Please comment or provide details below to improve the information on ANDREW LONG.
| 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.