Healthcare Provider Details

I. General information

NPI: 1376430660
Provider Name (Legal Business Name): PATRICIA LANGAN APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S HALSTED ST STE 240
CHICAGO IL
60607-5003
US

IV. Provider business mailing address

820 S WOOD ST
CHICAGO IL
60612-4325
US

V. Phone/Fax

Practice location:
  • Phone: 312-413-3000
  • Fax:
Mailing address:
  • Phone: 312-413-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number209.031422
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: