Individual
LINDA LEAH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 N PLUM GROVE RD, SCHAUMBURG, IL 60173-4761
(847) 359-3400
(847) 348-3402
Mailing address
1833 N HOWE ST, CHICAGO, IL 60614-5125
(312) 915-0222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000727
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-000727
LICENSE
IL
Enumeration date
09/21/2007
Last updated
04/23/2012
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