William E Long, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-090299 Issued in IL

Practice address

11 Salt Creek LN Ste 125
Ste 125
Hinsdale, IL 60521-2902

Phone

(630) 655-1177

Fax

(630) 655-1192

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Adventist Health Partners, Inc

  dba Hinsdale Primary Care

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1952339939
  NPD (past)
• Burr Ridge Family Practice , LTD.

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1790891877
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1144336223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 125",
            "address_2": "STE 125",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212902",
            "telephone_number": "630-655-1177",
            "fax_number": "630-655-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 125",
            "address_2": "STE 125",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212902",
            "telephone_number": "630-655-1177",
            "fax_number": "630-655-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-090299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "400280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Lodewyk, PH.D.
• Parth Lodhia, M.D.
• Melissa Lofton, MA, BCBA
• David A Loiterman, M.D.
• Kristina Long, LPC
• Roland E. Lonser, M.D.
• Lorah Inc (ActiveRx Chicago Clinic)
• Mark A. Lorenz, M.D.
• John A Los, DDS
• Michelle Brunner Los

• Family Medicine Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.