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
Fax: (847) 724-5379
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881740561 NPPES
Colorado Other 18824 KAISER COMMERCIAL NUMBER

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