Individual
DR. JANE L LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4801 W PETERSON AVE, SUITE #212, CHICAGO, IL 60646-5713
(773) 481-5906
Mailing address
4801 W PETERSON AVE, SUITE #212, CHICAGO, IL 60646-5713
(773) 481-5906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9184160
—
IL
Enumeration date
03/29/2007
Last updated
01/22/2015
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