IndividualActive
Jerome Lane, MD
NPI 1831158971 · Pediatric Nephrology Physician · Chicago, IL
Provider details
- NPI number
- 1831158971
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 036100806 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Approximate (ZIP-level) locationGet directions
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Additional practice locations (1)
- 2515 N Clark StChicago, IL 60614-2730Phone: (312) 227-4000
Registry dates
- Enumerated
- 2006-03-18
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.