Individual
AMBER R LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 N CLAREMONT AVE FL 2, CHICAGO, IL 60622-1702
(312) 633-5890
Mailing address
303 DES PLAINES AVE, FOREST PARK, IL 60130-1469
(312) 401-8856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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