Organization
JOHNNIE LEWIS D.P.M P.C
Active
Parent organization
JOHNNIE LEWIS D.P.M. P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNNIE LEWIS D.P.M. P.C
Authorized official
DR. JOHNNIE LEWIS DPM (PRESIDENT)
(312) 674-1191
Entity
Organization
Contact information
Practice address
2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2955
(312) 674-1191
(312) 674-1192
Mailing address
2850 S WABASH AVE, STE 206, CHICAGO, IL 60616-2955
(312) 674-1191
(312) 674-1192
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004605
IL
Other
Enumeration date
11/24/2008
Last updated
12/03/2011
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