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Individual

MRS. SUSAN G. LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
17929 GOTTSCHALK AVE, HOMEWOOD, IL 60430-1709
(708) 206-6155
Mailing address
17314 KEDZIE AVE, HAZEL CREST, IL 60429-1619
(708) 335-0020
(708) 335-0022

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
IL

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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