Jennifer Elizabeth Long
Occupational Therapist - Physical Rehabilitation
430 Pennsylvania Ave Ste 240
Glen Ellyn
, Illinois 60137-4464
Jennifer Elizabeth Long
Occupational Therapist - Physical Rehabilitation
430 Pennsylvania Ave Ste 240
Glen Ellyn
, Illinois 60137-4464
(630) 469-9200
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Jennifer Elizabeth Long
- 1860 Payshere Circle
- Chicago, IL
- Zip : 60674-0001
- Phone : (630) 469-9200
Second Address
- Jennifer Elizabeth Long
- 430 Pennsylvania Ave Ste 240
- Glen Ellyn, IL
- Zip : 60137-4464
- Phone : (630) 450-5060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 056003249 | IL |
National Provider Identifier
| NPI | 1194234385 |
|---|---|
| Provider Name | Jennifer Elizabeth Long |
| First Address | Chicago, IL 60674-0001 |
| Second Address | Glen Ellyn, IL 60137-4464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2017 |
| Last Update Date | 09/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.