Provider Demographics
NPI:1811327034
Name:LANGES, LAURA ELIZABETH CHESSLO (PSYD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ELIZABETH CHESSLO
Last Name:LANGES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELIZABETH
Other - Last Name:CHESSLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1900 OGDEN AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4284
Mailing Address - Country:US
Mailing Address - Phone:630-256-8007
Mailing Address - Fax:630-256-8009
Practice Address - Street 1:1900 OGDEN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4273
Practice Address - Country:US
Practice Address - Phone:630-256-8007
Practice Address - Fax:630-256-8009
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.008767103TC0700X, 103TC2200X
KSLP2175103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical