Lane, Jerome Charles

Lane, Jerome Charles is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Lane, Jerome Charles can be contacted via phone (312) 227-4000.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Phone: (312) 227-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 036100806 Illinois

Profile Details

NPI number 1831158971
LBN Legal business name Lane, Jerome Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Aug 5th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831158971 NPPES
Illinois MEDICAID 036100806

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