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1831158971
JEROME CHARLES LANE
CHICAGO, IL
NPI
1831158971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0210X Pediatrics, Pediatric Nephrology
(Licence: IL 036100806)
Enumeration Date
2006-03-18
Last Update Date
2007-07-08
Business Address
-- JEROME CHARLES LANE MD
2300 CHILDRENS PLAZA BOX #37, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614
Phone number: 773-327-3930
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Mailing Address
-- JEROME CHARLES LANE MD
520 WEST HURON STREET APT #603
CHICAGO, IL 60610
Phone number: 312-280-8083
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