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Contact Information

AISHA LANE
7900 W 75TH ST
BRIDGEVIEW, IL60455-1237
 Phone: 708-612-3956
 Fax: 888-265-5564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for AISHA LANE · (Female)

NPI Number 1124681739
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2019
Last updated 06/06/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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