Mamie Janie Long
Mamie Janie Long is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Partly verified
Chicago Dept OF Public Health 333 S State Street Revenue #200Chicago, IL 60604
Phone: (312) 747-9443
Fax: (312) 747-9447
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (IL) |
|---|
Record details
| NPI number | 1265528244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | July 8, 2007 |
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