Dr Soren David Lang, M D | |
400 N. Wall St, Suite 410, Kankakee, IL 60901-2963 | |
(815) 933-2221 | |
(815) 933-7363 |
Full Name | Dr Soren David Lang |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 54 Years |
Location | 400 N. Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538263256 | NPI | - | NPPES |
036057323 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 036057323 (Illinois) | Secondary |
208600000X | Surgery | 036057323 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Medical Center | Kankakee, IL | Hospital |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Entity Name | S David Lang Md Limited |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962677450 PECOS PAC ID: 4880675222 Enrollment ID: O20040601000339 |
Mailing Address | Practice Location Address |
---|---|
Dr Soren David Lang, M D 400 N. Wall St, Suite 410, Kankakee, IL 60901-2963 Ph: (815) 933-2221 | Dr Soren David Lang, M D 400 N. Wall St, Suite 410, Kankakee, IL 60901-2963 Ph: (815) 933-2221 |
Dr. Dong Ouk Kim, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 N Wall St, Suite 410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-7363 | |
Robert Brockman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Suite P640, Kankakee, IL 60901 Phone: 815-932-0911 | |
Dr. Kay Chow Timbers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 | |
Dr. Jeffrey Lincoln Brown, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St Ste P420, Kankakee, IL 60901 Phone: 815-932-0911 Fax: 815-932-0631 | |
Gretchen Kathleen Williams, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B410, Kankakee, IL 60901 Phone: 815-933-2221 Fax: 815-933-3975 | |
Julian Henderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 555 W Court St Ste 214, Kankakee, IL 60901 Phone: 815-928-6131 |