Delores Lang

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

628 Clover LN
University Park, IL 60484-3323

Phone

(708) 534-8105

Fax

(708) 534-8107

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1538464367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CLOVER LN",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604843323",
            "telephone_number": "708-534-8105",
            "fax_number": "708-534-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CLOVER LN",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604843323",
            "telephone_number": "708-534-8105",
            "fax_number": "708-534-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "DELORES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia M Johnson, PMHNP-BC
• Justin Aron Keller
• Colin D Kirchner, LPC
• Kayla Knox
• L&Y'S Elite Transportation
• Tiffany Leonard, M.ED.
• Ashley J London, RN
• Rupel Emmanuel Marshall Jr., PHARMD
• Norman Mays
• Greta McGhee, FNP

• Community Health Worker in University Park, IL
• Providers in University Park, IL by specialty
• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.