Dr ARCHIE L ONG is a male medical professional, specializing in Neurology. He graduated in 2006.
NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES
2650 RIDGE AVE
EVANSTON
IL
602011718
Tel: 8475702000
| Npi | 1093979486 |
| Pac Id | 0547401010 |
| Professional Enrollment Id | I20130725000361 |
| Last Name | ONG |
| First Name | ARCHIE |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | NEUROLOGY |
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| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Group Practice Pac Id | 2163334699 |
| Number Of Group Practice Members | 1286 |
| Line 1 Street Address | 2650 RIDGE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EVANSTON |
| State | IL |
| Zip Code | 602011718 |
| Phone Number | 8475702000 |
| Hospital Affiliation Ccn 1 | 140010 |
| Hospital Affiliation Lbn 1 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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