Lang, Soren David

Lang, Soren David is an individual health care provider with primary practice located at 400 N. Wall St Suite 410, Kankakee IL 60901-2963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lang, Soren David can be contacted via phone (815) 933-2221.

Contact Information

Primary practice address
400 N. Wall St Suite 410 Kankakee IL 60901-2963
Phone: (815) 933-2221
Fax: (815) 933-7363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036057323 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036057323 Illinois

Profile Details

NPI number 1538263256
LBN Legal business name Lang, Soren David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538263256 NPPES
Illinois MEDICAID 036057323

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