Healthcare Provider Details

I. General information

NPI: 1770370850
Provider Name (Legal Business Name): ZOE NOREEN LANG RN, CLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ERIE CT STE 6160
OAK PARK IL
60302-2519
US

IV. Provider business mailing address

2447 N KILDARE AVE
CHICAGO IL
60639-2008
US

V. Phone/Fax

Practice location:
  • Phone: 708-434-4007
  • Fax:
Mailing address:
  • Phone: 937-479-4815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041479159
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number231038
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: