Aisha Lane

NPI #1124681739 in Bridgeview, Illinois

Provider Information

NPI Number: 1124681739
Entity Type: Organization
Organization Name: Aisha Lane
Primary Specialty: Surgery
Enumeration Date: Apr 18, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 7900 W 75TH ST
City: Bridgeview
State: Illinois
ZIP Code: 60455-1237
Phone: (708) 612-3956

Authorized Official

Name: PAMELA CLAY
Title: BILLING MANAGER
Phone: (888) 265-9908

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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