Individual provider Active NPI

Francine L Long, MD

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1063406924
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036065650 Issued in IL
Practice address
2255 Monarch Dr
Naperville, IL 60563-4164
Phone
(630) 300-1125
Fax
(630) 300-1394
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036065650 IL Primary

Addresses

Primary practice location

2255 Monarch Dr
Naperville, IL 60563-4164

Mailing address

2255 Monarch Dr
Naperville, IL 60563-4164
Phone (630) 300-1125

Other identifiers 1

IdentifierTypeStateIssuer
036065650MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address flong15397@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000732 IL Practitioner - Internal Medicine 5193791838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036065650ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Health Ventures CurrentSince Sep 1, 2008 Accepting new patients
Edward Health Ventures CurrentSince Sep 1, 2008 Accepting new patients

Locations

3033 Ogden Ave
Ste 300
Lisle, IL 60532
Phone (630) 717-5700

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

2255 Monarch Dr
Naperville, IL 60563
Phone (630) 300-1125

Interoperability endpoints

  • Direct secure messaging: flong15397@direct.edward.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1063406924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 MONARCH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634164",
            "telephone_number": "630-300-1125",
            "fax_number": "630-300-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 MONARCH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634164",
            "telephone_number": "630-300-1125",
            "fax_number": "630-300-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "FRANCINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036065650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065650",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flong15397@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2255 Monarch Dr",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605634164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.