Individual
NICOLE LORANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
800 BIESTERFIELD ROAD, SUITE 505, ELK GROVE VILLAGE, IL 60007-3362
(847) 437-5843
(847) 437-5859
Mailing address
800 BIESTERFIELD RD, SUITE 505, ELK GROVE VILLAGE, IL 60007-3362
(847) 437-5843
(847) 437-5859
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG0715216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG0715216
STATE OF ILLINOIS
IL
Enumeration date
07/30/2015
Last updated
10/29/2015
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