Most Relevant Information
Provider Data
| NPI Number: | 1003293358 |
| Provider Name: | ROBERTA LANG DT |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2015 |
| Last Updated: | 05/06/2015 |
Provider Practice Location
7809 W THORNDALE AVE
CHICAGO
IL
606312289
Practice Location Phone/Fax
| Phone: | 7735241537 |
| Fax: |
Provider Mailing Location
7809 W THORNDALE AVE
CHICAGO
IL
606312289
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |