Individual provider Active NPI

Jeana Manaay Lang, M.D.

  • Pediatrics Physician
  • Lincolnwood, IL
National Provider Identifier
1821318049
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036132639 Issued in IL
Practice address
6501 N Lincoln Ave
Lincolnwood Medical Center
Lincolnwood, IL 60712-3925
Phone
(847) 242-1001
NPI assigned
Jun 10, 2010
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036132639 IL Primary

Addresses

Primary practice location

6501 N Lincoln Ave
Lincolnwood Medical Center
Lincolnwood, IL 60712-3925

Mailing address

1255 W Eddy St Apt 3
Chicago, IL 60657-1485
Phone (773) 528-6552

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036132639ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Health.P.C Pediatrics PastSince Sep 18, 2019 Accepting new patients
Illinois Center for Pain Control LLC PastSince Jun 29, 2022 Accepting new patients
Omni Primary Care and Aesthetic Medicine SC Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1821318049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W EDDY ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571485",
            "telephone_number": "773-528-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N LINCOLN AVE",
            "address_2": "LINCOLNWOOD MEDICAL CENTER",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123925",
            "telephone_number": "847-242-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JEANA",
        "middle_name": "MANAAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036132639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.