Individual
JOHANNA H LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 SPALDING, STE. 412, NAPERVILLE, IL 60540
(630) 527-3347
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00447356
RAILROAD MEDICARE
—
Enumeration date
10/03/2006
Last updated
03/11/2008
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