SAMANTHA MARIE LONG (NPI# 1962897082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962897082 |
| Entity Type | Individual |
| Full Name | SAMANTHA MARIE LONG |
| Credential | MASTERS |
| Practice Address |
2150 Pfingsten Rd Ste 1200 Glenview IL 60026-1326 |
| Practice Telephone | 8478643278 |
| Mailing Telephone | 8478643278 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 041378009 | IL | Nursing Service Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209.012497 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave, Room A621-mc2016, Chicago, IL 606371447 | 7737029460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215123 | Samantha N Long | Registered Nurse | 600 S Paulina St Ste 1080, Chicago, IL 60612-3806 | 2020-11-04 |
| 1679170286 | Samantha Long | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2020-10-06 |
| 1144799578 | Samantha Long | Occupational Therapist | 888 Terrace St, Muskegon, MI 49440-1220 | 2018-11-14 |
| 1750803680 | Samantha Long | Physician Assistant | 3831 Hughes Ave Ste 105, Culver City, CA 90232-6834 | 2017-07-12 |
| 1184074114 | Samantha N. Long | Social Worker | 9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101 | 2016-06-21 |
| Street Address |
2150 PFINGSTEN RD STE 1200 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863378 | Alan M. Zunamon | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-03-03 |
| 1922448299 | Jared Jon Liebelt | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2013-07-01 |
| 1134449531 | Jordan Zachary Harris | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2010-06-08 |
| 1316147788 | Jeffrey John Marogil | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2007-07-23 |
| 1144307729 | Jason C. Robin | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-11-01 |
| 1568559458 | Alex Sue Ro | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-10-10 |
| 1962502476 | Jose Nazari | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-09-24 |
| 1477588440 | Elaine Gorelik | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2006-07-11 |
| 1932140670 | Westby G. Fisher | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026 | 2006-06-10 |
| 1699742163 | Michael J. Waligora | Internal Medicine | 2150 Pfingsten Rd Ste 1200, Glenview, IL 60026-1326 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144889932 | Jessica Mauleon | Nurse Practitioner | 2050 Claire Ct, Glenview, IL 60025-7635 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636475 | Monika Sitko | Nurse Practitioner | 3 E 14th Pl, Lombard, IL 60148-4574 | 2020-10-10 |
| 1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
| 1013521038 | Eziaha R Georgewill | Nurse Practitioner | 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 | 2020-09-08 |
| 1447870274 | 15 Park Place LLC | Nurse Practitioner | 15 Park Pl Ste 1, Swansea, IL 62226-2918 | 2020-04-22 |
| 1861021248 | Elizabeth Horan | Nurse Practitioner | 125 S Green St Apt 1005a, Chicago, IL 60607-3717 | 2020-04-07 |
| 1699315697 | Kelsey L Proehl | Nurse Practitioner | 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 | 2020-01-08 |
| 1992343248 | Maryanne M Smith | Nurse Practitioner | 805 W Deyoung St Ste D, Marion, IL 62959-1602 | 2019-12-17 |
| 1730724451 | Suzana None Nikitovic | Nurse Practitioner | 2815 Regner Rd, Mchenry, IL 60051-6942 | 2019-11-18 |
| 1104461870 | Swanson Family Practice LLC | Nurse Practitioner | 733 N Logan Ave Ste 1, Danville, IL 61832-4378 | 2019-11-16 |
| 1205471083 | Sylvia Coleman | Nurse Practitioner | 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
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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.