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1194193912
AMY LANGE
CHICAGO, IL
NPI
1194193912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209013066)
Enumeration Date
2015-09-10
Last Update Date
2016-12-11
Business Address
-- AMY LANGE CPNP
737 N MICHIGAN AVE SUITE 820
CHICAGO, IL 60611-2615
Phone number: 312-202-0300
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Mailing Address
-- AMY LANGE CPNP
737 N MICHIGAN AVE SUITE 820
CHICAGO, IL 60611-2615
Phone number: 312-202-0300
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