Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krystle N Lange, DO

Individual provider Surgery Physician · NPI 1770846974

Krystle N Lange, DO is a General Surgery in Rockford, Illinois. Qualified in 2012, 14 years ago. Practices with Swedishamerican Hospital, a 387-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
14
Licensed in
IA, IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1340 Charles St Ste 100
Rockford, IL 61104-2200
Phone: (779) 696-8700
Fax: (779) 696-8745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036143818 (IL)
Surgery Physician Taxonomy 208600000X · Licence R-9506 (IA)

Record details

NPI number1770846974
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 1567, Rockford, IL 61110-0067

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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