Individual
DR. JOHAN OLOF LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1435 WAUKEGAN RD, GLENVIEW, IL 60025
(847) 832-6500
(847) 724-5379
Mailing address
1435 WAUKEGAN RD, GLENVIEW, IL 60025-2120
(847) 832-6500
(847) 724-5379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-132255
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18824
KAISER COMMERCIAL NUMBER
CO
Enumeration date
01/26/2007
Last updated
04/01/2021
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