Healthcare Provider Details

I. General information

NPI: 1346207735
Provider Name (Legal Business Name): LINDA L ZANGE DC LIC AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 07/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E OAKTON ST STE 5
DES PLAINES IL
60018-2171
US

IV. Provider business mailing address

1401 E OAKTON ST STE 5
DES PLAINES IL
60018-2171
US

V. Phone/Fax

Practice location:
  • Phone: 847-724-2340
  • Fax: 847-348-3859
Mailing address:
  • Phone: 847-724-2340
  • Fax: 847-348-3859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038003379
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number198000134
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number038003379
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: