Individual
DR. JOHNNIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2491
(312) 674-1191
(312) 674-1192
Mailing address
2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2491
(773) 288-1191
(773) 288-5502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004605
IL
Other
Enumeration date
11/07/2005
Last updated
12/31/2021
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