MR. Jason Long, M.D.

NPI #1033416151 in Chicago, Illinois

Provider Information

NPI Number: 1033416151
Entity Type: Individual
Name: MR. Jason Long, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Feb 25, 2011
Last Updated: Feb 25, 2011

Practice Location

Address: 5841 S. MARYLAND AVE
Address 2: UNIVERSITY OF CHICAGO HOSPITALS
City: Chicago
State: Illinois
ZIP Code: 60637
Phone: (773) 702-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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