Active NPI
Barbara Lynn Lange, DPM
- Podiatrist
- Oak Forest, IL
National Provider Identifier
1083621940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-005079
- Practice address
- 14810 South Cicero Avenue
Suite 1D
Oak Forest, IL 60452-1400 - Phone
- (708) 560-3676
- Fax
- (708) 535-3091
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-005079 | IL | Primary |
Addresses
Primary practice location
14810 South Cicero Avenue
Suite 1D
Oak Forest, IL 60452-1400
Mailing address
14810 South Cicero Avenue
Suite 1D
Oak Forest, IL 60452-1400
Phone (708) 560-3676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-005079 | IL | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1083621940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14810 SOUTH CICERO AVENUE",
"address_2": "SUITE 1D",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521400",
"telephone_number": "708-560-3676",
"fax_number": "708-535-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14810 SOUTH CICERO AVENUE",
"address_2": "SUITE 1D",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521400",
"telephone_number": "708-560-3676",
"fax_number": "708-535-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "BARBARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-005079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.