Individual
JOSEPH LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 W SCHICK RD, BARTLETT, IL 60103-3007
(630) 372-1100
Mailing address
1110 W SCHICK RD, BARTLETT, IL 60103-3007
(630) 372-1100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009871
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2023
Last updated
10/23/2023
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