Individual provider Active NPI

Lana Nour Kashlan, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1336371350
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125056106 Issued in IL
Practice address
21 W 2ND St Ste 3
Hinsdale, IL 60521-4131
Phone
(630) 463-9141
Fax
(630) 454-6763
NPI assigned
Aug 10, 2009
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125056106 IL Primary

Addresses

Primary practice location

21 W 2ND St Ste 3
Hinsdale, IL 60521-4131

Mailing address

21 W 2ND St Ste 3
Hinsdale, IL 60521-4131
Phone (630) 463-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125056106ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LK Dermatology, PLLC Current Accepting new patients
Boston University Dermatology, Inc. PastSince Jan 23, 1997 Accepting new patients
Child Health Foundation of Boston, Inc. PastSince Jan 1, 2005 Accepting new patients

Locations

21 W 2nd St
Ste 3
Hinsdale, IL 60521
Phone (630) 463-9141

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1336371350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W 2ND ST STE 3",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214131",
            "telephone_number": "630-463-9141",
            "fax_number": "630-454-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W 2ND ST STE 3",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214131",
            "telephone_number": "630-463-9141",
            "fax_number": "630-454-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHLAN",
        "first_name": "LANA",
        "middle_name": "NOUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125056106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.