J M Lang SC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

J M LANG SC INC

Practice address

900 Geneva St
Shorewood, IL 60404-9403

Phone

(815) 436-1988

Fax

(815) 436-2278

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jesse M Lang, DC

Title

Physician

Phone

(815) 436-1988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1871091256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GENEVA ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049403",
            "telephone_number": "815-436-1988",
            "fax_number": "815-436-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GENEVA ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604049403",
            "telephone_number": "815-436-1988",
            "fax_number": "815-436-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M LANG SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-436-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.