Individual
DR. GREGORY A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 RIVERBOAT CENTER DR, JOLIET, IL 60431-9341
(815) 409-4930
(815) 741-3263
Mailing address
1541 RIVERBOAT CENTER DR, JOLIET, IL 60431-9341
(815) 409-4930
(815) 741-3263
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036057677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057677
—
IL
Enumeration date
01/18/2006
Last updated
03/23/2017
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