James W Lane
NORTHWESTERN MEDICAL FACULTY FOUNDATION


Address: 1704 Maple Ave, Evanston, IL 60201-3134
Phone: 3129266146

James W Lane (NPI# 1871087239, PAC ID# 7517218530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1871087239
PAC ID by PECOS 7517218530
Professional Enrollment ID I20181001001732
Full Name James W Lane
Organization Legal Name NORTHWESTERN MEDICAL FACULTY FOUNDATION
Address 1704 Maple Ave
Evanston
IL 60201-3134
Phone Number 3129266146
Gender M
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 4587576814
Number of Group Practice Members 2103
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140281 NORTHWESTERN MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
1333 W Belmont Ave, Chicago, IL 60657-5785 3129266146 NORTHWESTERN MEDICAL FACULTY FOUNDATION
171 N Aberdeen St, Suite 100, Chicago, IL 60607-1669 3129264150 NORTHWESTERN MEDICAL FACULTY FOUNDATION
635 N Dearborn St, Chicago, IL 60654-4618 3129260404 NORTHWESTERN MEDICAL FACULTY FOUNDATION
635 N Fairbanks Ct, Fl 1, Chicago, IL 60611-5435 3124723173 NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N St Clair, Chicago, IL 60611-5975 NORTHWESTERN MEDICAL FACULTY FOUNDATION
1704 Maple Ave, Evanston, IL 60201-3134 3129266146 NORTHWESTERN MEDICAL FACULTY FOUNDATION

Organization Information

Organization Legal Name NORTHWESTERN MEDICAL FACULTY FOUNDATION
Physicians 2248

Physicians with the same organization

Name Specialty Organization Address
Michelle A Young Registered Dietitian Or Nutrition Professional Northwestern Medical Faculty Foundation 800 N Westmoreland Rd, Suite 201, Lake Forest, IL 60045-1687
Guadalupe Rodriguez Nurse Practitioner Northwestern Medical Faculty Foundation 350 S Waukegan, Suite 150, Deerfield, IL 60015-5239
Walter J Liszewski Dermatology Northwestern Medical Faculty Foundation 676 N St Clair, 1600 Dept of Dermatology, Chicago, IL 60611-2997
Keith P Leitzen Otolaryngology Northwestern Medical Faculty Foundation 800 N W Moreland Rd, Suite 102, Lake Forest, IL 60045-1687
Joshua G Cahan Neurology Northwestern Medical Faculty Foundation 675 N Saint Clair St, Suite 20 100, Chicago, IL 60611-5970
Jennifer Lee Ophthalmology Northwestern Medical Faculty Foundation 259 E Erie, Lavin 1520, Chicago, IL 60611-2987
David S Burstein Internal Medicine Northwestern Medical Faculty Foundation 676 N Saint Clair, Chicago, IL 60611-2927
Richard R Clark Family Medicine Northwestern Medical Faculty Foundation 1475 E Belvidere Rd, Pavilion C Suite 385, Grayslake, IL 60030-2026
Edward J Tanner Iii Gynecological Oncology Northwestern Medical Faculty Foundation 250 E Superior, 2304 Nwmff Prent Wmn Hosp, Chicago, IL 60611-2914
Katie Marie Reidy Physician Assistant Northwestern Medical Faculty Foundation 350 S Waukegan Rd, Deerfield, IL 60015-5239

Office Location

Street Address 1704 MAPLE AVE
City EVANSTON
State IL
Zip 60201-3134

Physicians in the same location

Name Specialty Organization Address
Seema Singhal Hematology/oncology Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Janusz M Dudek Internal Medicine Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Shibani C Munshi Family Medicine Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Daniel R Schimmel Jr. Cardiovascular Disease (cardiology) Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Cynthia A Lagone Internal Medicine Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Regina M Stein Hematology/oncology Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Chelsea D Campbell Physician Assistant Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Susan L Alt Internal Medicine Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Sara R Berg Internal Medicine Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
Jessica W Kiley Obstetrics/gynecology Northwestern Medical Faculty Foundation 1704 Maple Ave, Evanston, IL 60201-3134
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Physicians in the same zip code

Name Specialty Organization Address
Therese J Given Clinical Social Worker 3008 Central St, Evanston, IL 60201-1101
Kristina Byzyka Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
George Pawlyk Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
Kevin Pfeiffer Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
Jerome P Wagner Psychologist, Clinical 2603 Broadway, Evanston, IL 60201-1501
Robert Lee Behrends Podiatry 1713 Central St, Evanston, IL 60201-1507
Todd S Newberger Internal Medicine 1713 Central St, Evanston, IL 60201-1507
Alan A Harvey Maxillofacial Surgery 2650 Ridge Ave, Evanston, IL 60201-1700
Adela Kola Hospitalist Northshore University Healthsystem Faculty Practice Associates 2650 Ridge Ave, Evanston, IL 60201-1718
Lynn K Martin Internal Medicine Northshore University Healthsystem Faculty Practice Associates 2650 Ridge Ave, Evanston, IL 60201-1718
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Competitor

Search similar physicians

City EVANSTON
Zip Code 60201
Specialty PHYSICIAN ASSISTANT
City + Specialty EVANSTON + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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