Individual
AMY LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
737 N MICHIGAN AVE, SUITE 820, CHICAGO, IL 60611-2615
(312) 202-0300
(312) 202-0383
Mailing address
737 N MICHIGAN AVE, SUITE 820, CHICAGO, IL 60611-2615
(312) 202-0300
(312) 202-0383
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209013066
IL
Other
Enumeration date
09/10/2015
Last updated
12/11/2016
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