DR. Thomas Charles Long

NPI #1710191572 in South Barrington, Illinois

Provider Information

NPI Number: 1710191572
Entity Type: Individual
Name: DR. Thomas Charles Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 51 W MUNDHANK RD
City: South Barrington
State: Illinois
ZIP Code: 60010-9317
Phone: (847) 551-9119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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