J M Lang Sc Inc | |
900 Geneva St, Shorewood, IL 60404-9403 | |
(815) 436-1988 | |
(815) 436-2278 |
Full Name | J M Lang Sc Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 900 Geneva St, Shorewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871091256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jesse M Lang |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821311101 PECOS PAC ID: 9739471889 Enrollment ID: I20160711000351 |
Mailing Address | Practice Location Address |
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J M Lang Sc Inc 900 Geneva St, Shorewood, IL 60404-9403 Ph: (815) 436-1988 | J M Lang Sc Inc 900 Geneva St, Shorewood, IL 60404-9403 Ph: (815) 436-1988 |
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