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NPI Code Detail

MEDICARE: DR. FELICIA G LANE-FINCHER M.D.

MEDICARE: DR. FELICIA G LANE-FINCHER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician036083836IL
2207V00000XObstetrics & Gynecology Physician036083836IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700824455OTHERILGROUP NPI
236-2169147OTHERILGROUP TAX ID

General Provider Information

NPI Number : 1467471185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FELICIA G LANE-FINCHER M.D.
Provider Business Mailing Address
First Line : 9550 W 167TH ST
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-5561
Country : US
Telephone Number : 708-873-4500
Fax Number : 708-873-1656
Provider Business Practice Location Address
First Line : 5145 N CALIFORNIA AVE FL 3
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3687
Country : US
Telephone Number : 773-878-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/01/2023

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