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Individual

FIONA LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
2850 S WABASH AVE STE 106, CHICAGO, IL 60616-2491
(312) 842-4400
(312) 842-4595
Mailing address
10431 PENTAGON DR, ORLAND PARK, IL 60467-1362
(708) 623-4336

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.025415
IL

Other

Enumeration date
08/03/2022
Last updated
08/09/2022
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