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Organization
NOLAN S LEWIS MD SC
Active
Organization
NOLAN S LEWIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLAN S LEWIS MD (PRESIDENT)
(708) 343-4280
Entity
Organization
Contact information
Practice address
1440 W NORTH AVE, SUITE 201, MELROSE PARK, IL 60160-1425
(708) 343-4280
(408) 343-4287
Mailing address
1440 W NORTH AVE, SUITE 201, MELROSE PARK, IL 60160-1425
(708) 343-4280
(408) 343-4287
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
IL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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