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Search › Illinois › 208600000X

Aisha Lane

NPI 1528498466 · on the registry since 2013 · sole proprietor

Practice

Address
7900 W 75th St
Bridgeview, IL 60455
Phone
(708) 612-3956
Organisation at this address
Aisha Lane
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
246ZC0007X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-22

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