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Individual

DR. MARK BRIAN LANGGUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
180 N MICHIGAN AVE, SUITE 340, CHICAGO, IL 60601-7401
(312) 372-9780
(708) 386-6251
Mailing address
180 N MICHIGAN AVE, SUITE 340, CHICAGO, IL 60601-7401
(312) 372-9780
(708) 386-6251

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-003953
IL

Other

Enumeration date
10/06/2006
Last updated
07/08/2007
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