Provider Demographics
NPI:1083506810
Name:ABUSHAHEEN, LANA (CD, LCCE)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:ABUSHAHEEN
Suffix:
Gender:F
Credentials:CD, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13151 W BEAVER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-6723
Mailing Address - Country:US
Mailing Address - Phone:708-340-4302
Mailing Address - Fax:
Practice Address - Street 1:13151 W BEAVER LAKE DR
Practice Address - Street 2:
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-6723
Practice Address - Country:US
Practice Address - Phone:708-340-4302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1353616374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula