Healthcare Provider Details

I. General information

NPI: 1295652931
Provider Name (Legal Business Name): JULIA ANN LANGFELDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 FREEDOM DR
SPRINGFIELD IL
62704-6517
US

IV. Provider business mailing address

2725 CRONIN DR
SPRINGFIELD IL
62711-7095
US

V. Phone/Fax

Practice location:
  • Phone: 217-546-3270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051308788
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: