Aisha Lane, is a
Surgery physician based in Bridgeview, Illinois. Aisha Lane is licensed to practice in Illinois (license number 238000384) and her current practice location is 7900 W 75th St, Bridgeview, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 612-3956.
NPI number for Aisha Lane is 1528498466 and her current mailing address is 6801 W 73rd St Unit 922, Bedford Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528498466.
Physician's Profile
| Full Name | Aisha Lane |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 7900 W 75th St, Bridgeview, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528498466
- Provider Enumeration Date: 11/13/2013
- Last Update Date: 04/22/2019
Medical Identifiers
Medical identifiers for Aisha Lane such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528498466 | NPI | - | NPPES |
| 246ZC0007X | Other | IL | TAXONOMY # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 238000384 (Illinois) | Primary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238000384 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aisha Lane is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Aisha Lane, 6801 W 73rd St Unit 922, Bedford Park, IL 60499-5332 Ph: (708) 612-3956 | Aisha Lane, 7900 W 75th St, Bridgeview, IL 60455-1237 Ph: (708) 612-3956 |
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