DR. DENNIS LONG (NPI# 1952924961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952924961 |
| Entity Type | Individual |
| Full Name | DR. DENNIS LONG |
| Credential | DHSC, CCP |
| Practice Address |
1440 Circle Dr Glendale Heights IL 60139-3310 |
| Practice Telephone | 8477223830 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 214000255 | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427039 | Dennis C Long | Radiology | 1319 Punahoo St, Honolulu, HI 96826 | 2006-02-17 |
| 1891790846 | Dennis Sage Long | Pediatrics | 488 Montauk Ave, New London, CT 06320-4615 | 2005-06-16 |
| 1316496409 | Dennis Wayne Long | Pharmacist | 200 Technology Ct Se, Suite B, Smyrna, GA 30082-5250 | 2016-09-29 |
| 1396159968 | Dennis Long | Durable Medical Equipment & Medical Supplies | 16 Ash Rd, Southport, NC 28461-9115 | 2014-06-11 |
| 1396043279 | Dennis R. Long | Social Worker | 3550 Watt Ave, Suite 180, Sacramento, CA 95821-2667 | 2011-03-02 |
| 1427351733 | Dennis M Long | Specialist | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2010-12-08 |
| 1295853547 | Dennis W Long | Nurse Practitioner | 224 N Frederick St, Cape Girardeau, MO 63701-5626 | 2007-03-26 |
| 1154454692 | Dennis A. Long | Psychiatry & Neurology | 2210 Dean St, Suite O-1, Saint Charles, IL 60175-1066 | 2007-03-13 |
| 1144319062 | Dennis R. Long | Internal Medicine | 45280 Seeley Dr Fl 3, La Quinta, CA 92253-6834 | 2006-10-11 |
| 1881792877 | Dennis R Long | Dentist | 1100 Washington Street, Shelbyville, KY 40065-1462 | 2006-09-21 |
| Street Address |
1440 CIRCLE DR |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215156450 | Northwest Suburban Urgent Care | Perfusionist | 201 S. Miluakee Ave., Lake Villa, IL 60046 | 2007-04-25 |
| 1518242270 | Victoria A Brody | Perfusionist | 5145 N California Ave, Chicago, IL 60625-3661 | 2011-10-13 |
| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
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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.