Individual ProviderWilliam E LongFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address11 Salt Creek Ln Ste 125, Ste 125, Hinsdale, IL 60521-2902(630) 655-1177PECOS EnrollmentBased on the most recent information from CMS, provider William E Long does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1144336223Provider TypeIndividualFull NameLong, William ETitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date8/22/2006Last Updated3/19/2015Contact InformationPractice LocationPractice Address11 Salt Creek Ln Ste 125, Ste 125, Hinsdale, IL 60521-2902Phone(630) 655-1177Fax(630) 655-1192Mailing LocationMailing Address11 Salt Creek Ln Ste 125, Ste 125, Hinsdale, IL 60521-2902Phone(630) 655-1177Fax(630) 655-1192Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036-090299IllinoisProvider IdentifiersIDDescriptionIssuerID400280DescriptionOtherIssuerMEDICARE GROUP PTAN