Individual
RYAN GREGORY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Mailing address
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611-5979
(312) 695-8146
(312) 695-7030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
085006073
IL
208800000X
Urology Physician
PA10406
TX
363A00000X
Physician Assistant
Primary
085006073
IL
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
04/04/2016
Last updated
08/02/2023
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