Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hannah Bloom Lane, PA-C

Individual provider Physician Assistant · NPI 1215822580

Hannah Bloom Lane, PA-C is a Physician Assistant in Skokie, Illinois. Graduated from Ohio University, College of Osteopathic Medicine in 2025, 1 year ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
1
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
IL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9650 Gross Point Rd
Skokie, IL 60076-5080
Phone: (847) 982-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2100 Pfingsten Rd, Glenview, IL 60026-1301 — (847) 657-5800
  • 9650 Gross Point Rd Ste 4900, Skokie, IL 60076-5080 — (847) 444-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011302 (IL)

Record details

NPI number1215822580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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