Provider Demographics
NPI:1336371350
Name:KASHLAN, LANA NOUR (MD)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:NOUR
Last Name:KASHLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W 2ND ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4131
Mailing Address - Country:US
Mailing Address - Phone:630-463-9141
Mailing Address - Fax:630-454-6763
Practice Address - Street 1:21 W 2ND ST STE 3
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4131
Practice Address - Country:US
Practice Address - Phone:630-463-9141
Practice Address - Fax:630-454-6763
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125056106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine