SearchIllinois222Q00000X

Madilyn Lane

NPI 1487159364 · on the registry since 2018 · sole proprietor

Practice

Address
3113 Squall Way Apt 212
Bloomington, IL 61704
Phone
(217) 972-3571

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2018-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois