Joseph Lange

NPI #1639878671 in Bartlett, Illinois

Provider Information

NPI Number: 1639878671
Entity Type: Individual
Name: Joseph Lange
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Feb 28, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 1110 W SCHICK RD
City: Bartlett
State: Illinois
ZIP Code: 60103-3007
Phone: (630) 372-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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