Long, Patricia M

Long, Patricia M is an individual health care provider with primary practice located at 2300 Windsor Mall 2F, Park Ridge IL 60068-3695. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long, Patricia M can be contacted via phone (847) 322-0786.

Contact Information

Primary practice address
2300 Windsor Mall 2F Park Ridge IL 60068-3695
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1194702621
LBN Legal business name Long, Patricia M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 17 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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