MEDICARE: DR. PATRICIA LANGAN APRN, CNM

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	367A00000X	Advanced Practice Midwife	209.031422	IL

General Provider Information

NPI Number	:	1376430660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA LANGAN APRN, CNM

Provider Business Mailing Address
First Line	:	820 S WOOD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4325
Country	:	US
Telephone Number	:	312-413-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1309 S HALSTED ST STE 240
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5003
Country	:	US
Telephone Number	:	312-413-3000
Fax Number	:

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

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	05/28/2026

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