Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Telisa Long

Individual provider Private Vehicle · NPI 1285866111

MS. Telisa Long is a Private Vehicle in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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Practice location Address checks out

413 Indianwood Blvd
Park Forest, IL 60466-2247
Phone: (708) 369-2368
Fax: (708) 747-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence L52081680690 (IL)

Record details

NPI number1285866111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 11, 2009
Mailing address413 Indianwood Blvd, Park Forest, IL 60466-2247