TIMOTHY AUSTIN LANE

CHICAGO, IL
NPI1215324769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036146911)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-22
Last Update Date2022-06-28
Business Address
TIMOTHY AUSTIN LANE
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
TIMOTHY AUSTIN LANE
246 CONGRESSIONAL CT
VERNON HILLS, IL 60061-4511
Phone number: 847-826-1272