Organization
MARK LANGGUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B. LANGGUT PH.D. (PRESIDENT)
(708) 955-3272
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 340, CHICAGO, IL 60601-7401
(708) 955-3272
(708) 386-6251
Mailing address
180 N MICHIGAN AVE, SUITE 340, CHICAGO, IL 60601-7401
(708) 955-3272
(708) 386-6251
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071003953
IL
Other
Enumeration date
01/26/2012
Last updated
01/29/2012
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