# JOHNNIE LEWIS D.P.M P.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHNNIE LEWIS D.P.M. P.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235384801
- **Legal business name:** JOHNNIE LEWIS D.P.M. P.C
- **Authorized official:** DR. JOHNNIE LEWIS DPM (PRESIDENT)
- **Authorized official phone:** (312) 674-1191

## Contact information

- **Practice address:** 2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2955
- **Practice address phone:** (312) 674-1191
- **Practice address fax:** (312) 674-1192
- **Mailing address:** 2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2955
- **Mailing address phone:** (312) 674-1191
- **Mailing address fax:** (312) 674-1192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016004605 | IL | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 12/03/2011