Individual provider · Type 1 NPI

Andrew Long

Student in an Organized Health Care Education/Training Program · Downers Grove, IL

NPI number 1780110957 Active

Practice location

1321 68th St
Downers Grove, IL 60516-3339

Call (630) 200-7954 Map

Mailing address

1321 68th Street
Downers Grove, IL 60516

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1780110957

Andrew Long's National Provider Identifier is 1780110957, issued on May 10, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Downers Grove, IL. The record was last updated on May 10, 2017.