| Mrs Melissa Long, APN, FNP-BC, FNP-C | |
|
3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 | |
| (847) 719-2220 | |
| (847) 719-2265 |
| Full Name | Mrs Melissa Long |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3880 Salem Lake Dr, Long Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649619768 | NPI | - | NPPES |
| 209010475 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209010475 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Northwest Neurology, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427094077 PECOS PAC ID: 8729069158 Enrollment ID: O20040601000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Long, APN, FNP-BC, FNP-C 22285 N Pepper Rd Ste 401, Lake Barrington, IL 60010-2542 Ph: (847) 839-4391 | Mrs Melissa Long, APN, FNP-BC, FNP-C 3880 Salem Lake Dr, F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 |
Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Mrs. Nicole Brooke Kinberg, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 | |
Rebecca Lynne Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Miss Monica Lisa Bieszczad, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Angela Rose Depa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Kathy Wajda, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Alexis Gellar, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 |