Individual
CAROLINE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., MOT, OTR/L
Contact information
Practice address
4735 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6130
(708) 352-6900
Mailing address
950 W MONROE ST, APT 812, CHICAGO, IL 60607-2788
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009291
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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