Individual
JEANA MANAAY LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6501 N LINCOLN AVE, LINCOLNWOOD MEDICAL CENTER, LINCOLNWOOD, IL 60712-3925
(847) 242-1001
Mailing address
1255 W EDDY ST APT 3, CHICAGO, IL 60657-1485
(773) 528-6552
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036132639
IL
Other
Enumeration date
06/10/2010
Last updated
03/27/2014
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