OrganizationActive
Aisha Lane
NPI 1124681739 · Surgery Physician · Bridgeview, IL
Provider details
- NPI number
- 1124681739
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Clay, Billing Manager(888) 265-9908
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7900 W 75th St
Bridgeview, IL 60455-1237
Phone: (708) 612-3956
Fax: (888) 265-5564
Approximate (ZIP-level) locationGet directions
Mailing address
6801 W 73rd St Unit 922
Bedford Park, IL 60499-5332
Registry dates
- Enumerated
- 2019-04-18
- Last updated
- 2019-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.