Individual
JAMES W LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
635 N FAIRBANKS CT, CHICAGO, IL 60611
(312) 694-2273
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-0665
(312) 695-6594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
06/19/2018
Last updated
07/17/2018
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