MEDICARE: LINDSEY ANN LANGAN APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WN0002X	Neonatal Intensive Care Registered Nurse	041399059	IL
2	363LF0000X	Family Nurse Practitioner	209-021613	IL
3	363LF0000X	Family Nurse Practitioner	209.021613	IL

General Provider Information

NPI Number	:	1548884315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY ANN LANGAN APN

Provider Business Mailing Address
First Line	:	1725 W HARRISON ST STE 710
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3863
Country	:	US
Telephone Number	:	312-942-3034
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 W HARRISON ST STE 710
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3863
Country	:	US
Telephone Number	:	312-942-3034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2020
Last Update Date	:	04/13/2026

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