Individual
TIMOTHY AUSTIN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
246 CONGRESSIONAL CT, VERNON HILLS, IL 60061-4511
(847) 826-1272
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036146911
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/22/2015
Last updated
04/03/2026
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