| Eileen Lane, Pc | |
|
912 Julian Ct Naperville IL 60540-7600 | |
| (630) 452-4883 | |
| (630) 544-3740 |
| Full Name | Eileen Lane, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 912 Julian Ct, Naperville, Illinois |
| Authorized Official Name and Position | Eileen S. Lane (OWNER) |
| Authorized Official Contact | 6304524883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen Lane, Pc Po Box 4193 Naperville IL 60567-4193 Ph: (630) 452-4883 | Eileen Lane, Pc 912 Julian Ct Naperville IL 60540-7600 Ph: (630) 452-4883 |
| NPI Number | 1578703922 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578703922 | NPI | - | NPPES |
| 10758882 | Other | IL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180-002648 (Illinois) | Primary |
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