Individual
ALYSSA E LANGEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-1323
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
056012181
IL
225X00000X
Occupational Therapist
Primary
056-012181
IL
Other
Enumeration date
12/08/2020
Last updated
02/13/2025
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