SearchIllinois235Z00000X

Nicole Lange, MA, CCC-SLP

NPI 1699804856 · on the registry since 2007 · sole proprietor

Practice

Address
2032 W Farragut Ave
Unit 3
Chicago, IL 60625
Phone
(773) 494-9561
Fax
(773) 907-0504

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois