# NOLAN S LEWIS MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710151261
- **Authorized official:** NOLAN S LEWIS MD (PRESIDENT)
- **Authorized official phone:** (708) 343-4280

## Contact information

- **Practice address:** 1440 W NORTH AVE, SUITE 201, MELROSE PARK, IL 60160-1425
- **Practice address phone:** (708) 343-4280
- **Practice address fax:** (408) 343-4287
- **Mailing address:** 1440 W NORTH AVE, SUITE 201, MELROSE PARK, IL 60160-1425
- **Mailing address phone:** (708) 343-4280
- **Mailing address fax:** (408) 343-4287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | IL | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008