Laura L. Long M.D., S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036114793 Issued in IL

Legal business name

LAURA L. LONG M.D., S.C.

Practice address

122 S Michigan Ave
Suite 1406
Chicago, IL 60603-6191

Phone

(312) 882-9119

Fax

(312) 663-3796

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Laura Lynn Long, M.D.NPI 1518012590

Title

President

Phone

(312) 882-9119

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Lynn Long, M.D.

  • Psychiatry Physician
  • Lubbock, TX
  • NPI 1518012590
  NPD (past) Authorized official

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1154563880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE",
            "address_2": "SUITE 1406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036191",
            "telephone_number": "312-882-9119",
            "fax_number": "312-663-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE",
            "address_2": "SUITE 1406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036191",
            "telephone_number": "312-882-9119",
            "fax_number": "312-663-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA L. LONG M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-882-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036114793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518012590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Costello LCPC Corp
• Laura Duening LCSW, PLLC
• Laura Furman Inc.
• Laura Georgy Nutrition Services
• Laura J Pickard DPM PC
• Laura M Shea DPM Podiatry Services
• Laura Mauriello, LLC
• Laura Perelman Psychotherapy PLLC
• Laura Rogers Allergy & Asthma, M.D., S.C.
• Emma P Laurash, MS, CCC-SLP

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.