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Organization
SECOND LANE PLLC
Active
Organization
SECOND LANE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN GEORGE HIDES (MEMBER MANAGER)
(224) 208-8484
Entity
Organization
Contact information
Practice address
501 N RIVERSIDE DR STE 215, GURNEE, IL 60031-5918
(224) 208-8484
Mailing address
28674 BRAELOCH CT, LAKE BLUFF, IL 60044-3004
(224) 208-8484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
09/25/2026
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