Individual
MR. DANIEL RICHARD LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.,A.T.C
Contact information
Practice address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-4592
Mailing address
1816 170TH ST, HAZEL CREST, IL 60429-1451
(708) 335-1415
(708) 335-4592
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070016989
IL
2255A2300X
Athletic Trainer
096-002174
IL
Other
Enumeration date
08/25/2006
Last updated
03/19/2009
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