Provider Demographics
NPI:1669944252
Name:LANGGLE CHIROPRACTIC LTD.
Entity type:Organization
Organization Name:LANGGLE CHIROPRACTIC LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-322-8113
Mailing Address - Street 1:129 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-2207
Mailing Address - Country:US
Mailing Address - Phone:724-322-8113
Mailing Address - Fax:
Practice Address - Street 1:2585 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1708
Practice Address - Country:US
Practice Address - Phone:724-322-8113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty