Long, J. Frederick

Long, J. Frederick is an sole proprietor health care provider with primary practice located at 1525 E 53Rd St Suite #421, Chicago IL 60615-4557. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Long, J. Frederick can be contacted via phone (773) 752-8166.

Contact Information

Primary practice address
1525 E 53Rd St Suite #421 Chicago IL 60615-4557
Phone: (773) 752-8166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1710199062
LBN Legal business name Long, J. Frederick
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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