Lane, Johan Olof
Lane, Johan Olof is an individual health care provider with primary practice located at 1435 Waukegan Rd , Glenview IL 60025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lane, Johan Olof can be contacted via phone (847) 832-6500.Contact Information
Primary practice address
1435 Waukegan Rd
Glenview IL 60025
Phone: (847) 832-6500
Fax: (847) 724-5379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-132255 | Illinois |
Profile Details
NPI number | 1881740561 |
---|---|
LBN Legal business name | Lane, Johan Olof |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2007 |
Last updated | Apr 1st, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881740561 | NPPES |
Colorado | Other | 18824 | KAISER COMMERCIAL NUMBER |
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