DR. JAIME LYN LONGOBARDI (NPI# 1699931253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699931253 |
| Entity Type | Individual |
| Full Name | DR. JAIME LYN LONGOBARDI |
| Credential | D.O. |
| Practice Address |
30475 Buckeye Dr Girard IL 62640-7207 |
| Mailing Address |
620 John Paul Jones Cir Gme Portsmouth VA 23708-2111 |
| Practice Telephone | 2174160767 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 0102202484 | VA | Allopathic & Osteopathic Physicians |
| Y | 286500000X | Military Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | INTERN TRAINING LICENSE | 39020000X | 01 |
| Street Address |
30475 BUCKEYE DR |
| City | GIRARD |
| State | IL |
| Zip Code | 62640-7207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356844526 | Pharmacy Plus Inc | Pharmacy | 315 W Center St, Girard, IL 62640 | 2018-03-14 |
| 1043475122 | Jennie Marie Nichelson | Developmental Therapist | 31281 Killam Rd., Girard, IL 62640 | 2008-07-28 |
| 1467679647 | Brethren Home of Girard | Nursing Facility/Intermediate Care Facility | 1010 W North, Girard, IL 62640 | 2007-04-19 |
| 1245565167 | Erica Hughes | Occupational Therapist | 1010 W North St, Girard, IL 62640-1061 | 2009-10-09 |
| 1811405996 | Karlee Bruenger | Speech-Language Pathologist | 1010 W North St, Girard, IL 62640-1061 | 2018-01-11 |
| 1043740327 | Jamie Lynn Jackson | Occupational Therapist | 1010 W North St, Girard, IL 62640-1061 | 2017-06-19 |
| 1245672203 | Sara Elizabeth Surratt | Speech-Language Pathologist | 1010 W North St, Girard, IL 62640-1061 | 2013-07-18 |
| 1861700197 | North Mac Cusd 34 | Local Education Agency (LEA) | 525 N 3rd St, Girard, IL 62640-1157 | 2010-09-21 |
| 1790893584 | Girard Comm Unit School Dist #3 | Local Education Agency (LEA) | 525 N 3rd St, Girard, IL 62640-1157 | 2006-08-29 |
| 1821228040 | Prairie Eye Center Ltd | Optometrist | 130 W Center St, Girard, IL 62640-1222 | 2009-07-22 |
| Find all providers in zip 62640 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013212356 | Edward Hines Jr. Va Hospital | Military Hospital | 5800 W 105th St, Unit 2a, Oak Lawn, IL 60453-4385 | 2011-01-18 |
| 1114238649 | Edward Hines Jr Va | Military Hospital | 1110 W Wood Ave, Addison, IL 60101-5720 | 2010-06-30 |
| 1770819211 | Edward Hines Veteran's Hospital | Military Hospital | 5344 Carpenter St, Downers Grove, IL 60515-4807 | 2009-10-18 |
| 1316181183 | Resurrection Westlake Hospital | Military Hospital | 7311 W Montrose Ave, Norridge, IL 60706-1157 | 2009-04-23 |
| 1659401909 | Hines Va Hospital | Military Hospital | 5923 Ridge Ave, Berkeley, IL 60163-1545 | 2007-03-06 |
| 1679618482 | Hines Va Hospital | Military Hospital | 13037 S Houston Ave, Chicago, IL 60633-1704 | 2007-02-20 |
| 1366584815 | Hines Va Hospital | Military Hospital | 823 S Cuyler Ave, Oak Park, IL 60304-1507 | 2007-02-13 |
| 1891836037 | Hines Va | Military Hospital | 115 Fleetwood Dr, Glendale Heights, IL 60139-1931 | 2007-02-09 |
| 1245370907 | Edward Hines Va Hospital | Military Hospital | 1417 Carol St, Park Ridge, IL 60068-1205 | 2007-02-08 |
| 1285017848 | Federal Health Care Center | Military Hospital | 3001 Green Bay Rd, North Chicago, IL 60064 | 2015-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JAIME LYN LONGOBARDI.
| 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.