JEROME CHARLES LANE

CHICAGO, IL
NPI1831158971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0210X Pediatrics, Pediatric Nephrology
(Licence: IL  036100806)
Enumeration Date2006-03-18
Last Update Date2007-07-08
Business Address
-- JEROME CHARLES LANE MD
2300 CHILDRENS PLAZA BOX #37, CHILDRENS MEMORIAL HOSPITAL
CHICAGO, IL 60614
Phone number: 773-327-3930
Mailing Address
-- JEROME CHARLES LANE MD
520 WEST HURON STREET APT #603
CHICAGO, IL 60610
Phone number: 312-280-8083