| Doctor Name: | MS. SUZANNE ELIZABETH LANGE |
| NPI Number: | 1013291434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 209.009100 |
| Business Practice Address: | 2160 S 1st Ave Building 105 Suite 1900 Maywood, IL - 601533328 |
| Business Phone Number: | 7082168920 |
| Business Fax Number: | 7082164948 |
| Mailing Address: | 2160 S 1st Ave, Building 105 Suite 1900 MAYWOOD |
| State: | IL |
| Postal Code: | 601533328 |
| Phone Number: | 7082168920 |
| Fax Number: | 7082164948 |
| NPI Enumeration Date: | 10/04/2011 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 209.009100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |