Organization
EILEEN LANE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN S. LANE (OWNER)
(630) 452-4883
Entity
Organization
Contact information
Practice address
912 JULIAN CT, NAPERVILLE, IL 60540-7600
(630) 452-4883
(630) 544-3740
Mailing address
PO BOX 4193, NAPERVILLE, IL 60567-4193
(630) 452-4883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-002648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10758882
CAQH
IL
Enumeration date
02/25/2009
Last updated
02/25/2009
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