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: |