Telisa Long
Private Vehicle · Park Forest, IL
Practice location
413 Indianwood BlvdPark Forest, IL 60466-2247
- Phone
- (708) 369-2368
- Fax
- (708) 747-5980
NPI record
- NPI
- 1285866111
- Entity type
- Individual (Type 1)
- Enumeration date
- August 11, 2009
- Last updated
- August 11, 2009
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Private Vehicle Primary | 347C00000X |
L52081680690 | IL |
About Telisa Long
Telisa Long is a healthcare provider registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 413 Indianwood Blvd, Park Forest, IL 60466-2247. The NPI number 1285866111 was assigned on August 11, 2009 and the record was last updated on August 11, 2009.
Telisa Long lists a license in the registry: #L52081680690 (IL) for Private Vehicle. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Telisa Long?
The NPI number is 1285866111.
What is the phone number of Telisa Long?
The phone number listed for the practice location is (708) 369-2368.
Where is Telisa Long located?
413 Indianwood Blvd, Park Forest, IL 60466-2247.
What is the taxonomy code for Telisa Long?
The primary taxonomy code is 347C00000X – Private Vehicle.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.