S David Lang MD Limited

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

S DAVID LANG MD LIMITED

Practice address

400 N Wall St
Ste 410
Kankakee, IL 60901-2963

Phone

(815) 933-2221

Fax

(815) 933-7363

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Soren David Lang, MDNPI 1538263256

Title

President

Phone

(815) 933-2221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Soren David Lang, M. D.

  • Surgery Physician
  • Kankakee, IL
  • NPI 1538263256
  Medicare reassignment NPD Authorized official
• Dong Ouk Kim, M.D.

  • Surgery Physician
  • Kankakee, IL
  • NPI 1104938984
  NPD (past)
• Gretchen Kathleen Williams, D.O

  • Surgery Physician
  • Kankakee, IL
  • NPI 1659663581
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1962677450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WALL ST",
            "address_2": "SUITE 410",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012963",
            "telephone_number": "815-933-2221",
            "fax_number": "815-933-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WALL ST",
            "address_2": "STE 410",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012963",
            "telephone_number": "815-933-2221",
            "fax_number": "815-933-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DAVID LANG MD LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "SOREN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-933-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Nicole Ruebhausen, NP-C
• Katelyn M Rugino, PA-C
• Brian Ruiz de Luzuriaga, M.D.
• Shaila Najairy Ruiz, RBT-18-60479
• Chancie Running
• Abdul Saboor, M.D.
• Cristian Salazar
• John Andrew Salazar III
• Alexander Satinsky
• Steven G Schaeffer, CRNA

• Surgery Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.