Individual
RYAN LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 SHERMAN AVE STE 100, EVANSTON, IL 60201-3711
(847) 535-6464
(224) 271-4870
Mailing address
1630 SHERMAN AVE STE 100, EVANSTON, IL 60201-3711
(847) 535-6464
(224) 271-4870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036159002
IL
207W00000X
Ophthalmology Physician
MD61043249
WA
Other
Enumeration date
02/10/2014
Last updated
04/28/2022
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