Provider Demographics
NPI:1346464922
Name:LANI, FRANK M (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:M
Last Name:LANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19710 GOVERNORS HWY
Mailing Address - Street 2:SUITE 9
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2080
Mailing Address - Country:US
Mailing Address - Phone:708-799-9754
Mailing Address - Fax:708-418-4838
Practice Address - Street 1:19710 GOVERNORS HWY
Practice Address - Street 2:SUITE 9
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2080
Practice Address - Country:US
Practice Address - Phone:708-799-9754
Practice Address - Fax:708-418-4838
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
103TC2200X, 103TF0200X
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical