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Individual

JESSE MICHAEL LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C,

Contact information

Practice address
900 GENEVA ST, SHOREWOOD, IL 60404-9403
(815) 436-1988
(815) 436-2278
Mailing address
900 GENEVA ST, SHOREWOOD, IL 60404-9403
(815) 436-1988
(815) 436-2278

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011635
IL

Other

Enumeration date
03/01/2010
Last updated
03/20/2017
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