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

Nicole Kathryn Long, MD

Individual provider Surgery Physician · NPI 1518531946

Nicole Kathryn Long, MD is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone: (321) 352-0994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036178851 (IL)

Record details

NPI number1518531946
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

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