Lane, Lynda

Lane, Lynda is an individual health care provider with primary practice located at 2800 N Sheridan Rd Suite 203, Chicago IL 60657-6156. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lane, Lynda can be contacted via phone (773) 404-5263.

Contact Information

Primary practice address
2800 N Sheridan Rd Suite 203 Chicago IL 60657-6156
Phone: (773) 404-5263
Fax: (773) 404-1867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1982699765
LBN Legal business name Lane, Lynda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 28th, 2008 - about 18 years 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 1982699765 NPPES
Illinois Other 0031604330 BCBS PROVIDER ID

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