Healthcare Provider Details

I. General information

NPI: 1346464922
Provider Name (Legal Business Name): FRANK M. LANI PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19710 GOVERNORS HWY SUITE 9
FLOSSMOOR IL
60422-2080
US

IV. Provider business mailing address

19710 GOVERNORS HWY SUITE 9
FLOSSMOOR IL
60422-2080
US

V. Phone/Fax

Practice location:
  • Phone: 708-799-9754
  • Fax: 708-418-4838
Mailing address:
  • Phone: 708-799-9754
  • Fax: 708-418-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: