Individual
RITA MARIA LEWIS-PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16233 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2157
(708) 296-1759
Mailing address
16760 CARRINGTON DR, SOUTH HOLLAND, IL 60473-4612
(708) 895-1701
(708) 418-0620
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01044247A
IN
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605754
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/27/2007
Last updated
07/08/2007
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