Brandie Long

NPI #1356849772 in Peoria, Illinois

Provider Information

NPI Number: 1356849772
Entity Type: Individual
Name: Brandie Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Jan 31, 2018
Last Updated: Jul 21, 2022

Practice Location

Address: 4125 N SHERIDAN RD STE 14
City: Peoria
State: Illinois
ZIP Code: 61614-7181
Phone: (630) 468-1824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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