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Organization
JONATHAN D. LEWIS MD SC
Active
Organization
JONATHAN D. LEWIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID LEWIS MD (PRESIDENT)
(773) 271-8345
Entity
Organization
Contact information
Practice address
4753 N BROADWAY ST, SUITE 830, CHICAGO, IL 60640-5266
(773) 271-8345
(773) 275-0318
Mailing address
4753 N BROADWAY ST, SUITE 830, CHICAGO, IL 60640-5266
(773) 271-8345
(773) 275-0318
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
36053771
IL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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