Jason Long M.D.

NPI 1033416151 - Surgery - 208600000X

NPI Details
NPI 1033416151
Gender Male
Enumeration Date 02/25/2011
Last Updated 02/25/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
5841 S. MARYLAND AVE
UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO IL, 60637, US
Phone (773) 702-1000
Fax
Business Location
1660 N LASALLE ST
2811
CHICAGO IL, 60614-6000, US
Phone (312) 315-6502
Fax
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 036117184
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According to our database, Mr. Jason Long M.D. NPI is 1033416151, taxonomy code is 208600000X and license number is 036117184, license state is located at Illinois. Jason Long M.D. physically located at 5841 S. Maryland Ave, Chicago IL, 60637. NPI Number Jason Long M.D. has the Individual type.

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1033416151 NPI number is provided on an as is basis without warranty of any kind. 1033416151 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Long M.D. are for informational purposes only.