DR. LAURA LYNN LONG (NPI# 1518012590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518012590 |
| Entity Type | Individual |
| Full Name | DR. LAURA LYNN LONG |
| Credential | M.D. |
| Practice Address |
122 S Michigan Ave Suite 1406 Chicago IL 60603-6191 |
| Practice Telephone | 3128829119 |
| Practice Fax Number | 3126633796 |
| Mailing Telephone | 3128829119 |
| Mailing Fax Number | 3126633796 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036114793 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | K53376 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184783151 | Laura L Long | Dietitian, Registered | 8765 Lewis Avenue, Temperance, MI 48182 | 2006-12-06 |
| 1750457339 | Laura Jane Long | Registered Nurse | 21428 Hyde Ln, Bend, OR 97701-9569 | 2006-11-27 |
| 1528067196 | Laura Erin Long | Physician Assistant | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2005-07-18 |
| 1093321499 | Laura Long | Marriage & Family Therapist | 2961 Yarmouth Greenway Dr Ste 2, Fitchburg, WI 53711-5809 | 2020-09-21 |
| 1326651985 | Laura M Long | Behavior Technician | 520 W Lacey Blvd, Hanford, CA 93230-4496 | 2020-08-24 |
| 1457983033 | Laura Long | Pharmacist | 9300 Dewitt Loop, Ft Belvoir, VA 22060-5285 | 2020-02-11 |
| 1003383498 | Laura Ann Long | Counselor | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2018-10-24 |
| 1891277109 | Laura Susan Long | Speech-Language Pathologist | 425 Island Ford Rd., Madisonville, KY 42431-4243 | 2018-09-04 |
| 1275028029 | Laura Long | Genetic Counselor, MS | 760 Broadway, Brooklyn, NY 11206-5317 | 2018-06-25 |
| 1326588963 | Laura J. Long | Nurse Anesthetist, Certified Registered | 1800 E Lake Shore Dr, Decatur, IL 62521 | 2017-03-01 |
| Street Address |
122 S MICHIGAN AVE SUITE 1406 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60603-6191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661607 | Craig Scott Conover | Internal Medicine | 122 S Michigan Ave, 7s, Chicago, IL 60603-6191 | 2005-07-05 |
| 1215537774 | Luciano Lima | Psychologist | 122 S Michigan Ave, Chicago, IL 60603-6191 | 2020-10-26 |
| 1558979518 | Stephanie Leigh Gould | Marriage & Family Therapist | 122 S Michigan Ave, Chicago, IL 60603-6191 | 2020-07-16 |
| 1285271056 | Qin Chen | Counselor | 122 S Michigan Ave, Chicago, IL 60603-6191 | 2019-11-29 |
| 1184283756 | Danielle Brodsky | Counselor | 122 S Michigan Ave, Chicago, IL 60603-6191 | 2019-06-07 |
| 1922545094 | Derek Harris | Counselor | 122 S Michigan Ave, Suite 406, Chicago, IL 60603-6191 | 2017-01-26 |
| 1003351222 | Katherine Williams | Social Worker | 122 S Michigan Ave, Suite 1307d, Chicago, IL 60603-6191 | 2016-12-23 |
| 1326591637 | Oluwabukola Adeyinka | Marriage & Family Therapist | 122 S Michigan Ave, Suite 1433, Chicago, IL 60603-6191 | 2016-08-03 |
| 1447627351 | Haa Preferred Partners, LLC | Emergency Medical Technician, Basic | 122 S Michigan Ave, Suite 1100, Chicago, IL 60603-6191 | 2015-08-26 |
| 1972987477 | Judith Newman, Lcsw, Ltd | Community/Behavioral Health | 122 S Michigan Ave, Chicago, IL 60603-6191 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1609352517 | Dawn Marie Seich | Nurse Practitioner | 190 S Lasalle #2130, Chicago, IL 60603 | 2018-07-13 |
| 1962869396 | Claire Kacena | Chiropractor | 10 S. Lasalle, Ste 1110, Chicago, IL 60603 | 2016-01-15 |
| 1588043251 | Thresholds | Clinic/Center | 120 South Lasalle Street, Suite 1410, Chicago, IL 60603 | 2015-05-27 |
| 1508273863 | Dr. Jeffrey Jones D.c. Inc. | Chiropractor | 19 S. Lasalle St., Suite 503, Chicago, IL 60603 | 2014-07-18 |
| 1942614730 | Devan Mark Hite | Counselor | 8 S Michigan Ave Ste 618, Chicago, IL 60603 | 2014-06-19 |
| 1265846604 | Jeffrey Jones | Chiropractor | 19 S Lasalle St, 503, Chicago, IL 60603 | 2014-06-13 |
| 1225469208 | Amy Kelly | Marriage & Family Therapist | 67 E Madison St # 1421, Chicago, IL 60603 | 2013-12-02 |
| 1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
| Find all providers in zip 60603 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.