Individual
SHAVIONA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
942 GREENBAY AVE, CALUMET CITY, IL 60409-5108
(312) 483-3377
Mailing address
942 GREENBAY AVE, CALUMET CITY, IL 60409-5108
(312) 483-3377
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
IL
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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