Individual
EMILY ELIZABETH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E HURON ST, CHICAGO, IL 60611-2909
(563) 370-5263
Mailing address
240 E HURON ST, CHICAGO, IL 60611-2909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008455
IL
Other
Enumeration date
02/11/2020
Last updated
07/14/2021
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