Mark Langgut PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071003953 Issued in IL

Legal business name

MARK LANGGUT PC

Practice address

180 N Michigan Ave
Suite 340
Chicago, IL 60601-7401

Phone

(708) 955-3272

Fax

(708) 386-6251

NPI assigned

Jan 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark B. Langgut, PH.D.NPI 1174610893

Title

President

Phone

(708) 955-3272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Brian Langgut, PH.D.

  • Psychologist
  • Chicago, IL
  • NPI 1174610893
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327795200000",
    "number": "1043581739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "708-955-3272",
            "fax_number": "708-386-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "708-955-3272",
            "fax_number": "708-386-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LANGGUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-29",
        "status": "A",
        "authorized_official_last_name": "LANGGUT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-955-3272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071003953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Harvey MDSC
• Mark Hoover DC SC
• Mark J Sokolowski MD SC
• Mark J. Grunberg, D.D.S.
• Mark Jiaras LTD
• Mark M Weiman DMD LTD
• Mark Mendiola, D.D.S., P.C.
• Mark Milazzo LCPC LTD
• Mark Morris DMD PC
• Mark Petroelje, LLC

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.