NPI 1053859926

Dawn Nicole Long

Practitioner Private Vehicle Plainfield, IL

Practice location

Address: 11723 Wolf Creek Ln, Plainfield, IL 60585-2504
Phone: (815) 557-7777

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence L520-1748-2799 (IL)

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Registry record

NPI: 1053859926
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2017
Record last updated: 10 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.