Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Telisa Long

Individual provider Private Vehicle · NPI 1285866111

MS. Telisa Long is a Private Vehicle in Park Forest, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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Practice location Address checks out

413 Indianwood Blvd
Park Forest, IL 60466-2247
Phone: (708) 369-2368
Fax: (708) 747-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X · Licence L52081680690 (IL)

Record details

NPI number1285866111
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 11, 2009