Individual
KRISTIN RENEE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
880 WEST CENTRAL ROAD, SUITE 3800, ARLINGTON HEIGHTS, IL 60005-2369
(847) 483-9800
(847) 483-9808
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085001706
IL
Other
Enumeration date
02/20/2006
Last updated
12/03/2020
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