Individual
JEFFREY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 N CLARK ST, CHICAGO, IL 60602-4109
(800) 866-7556
Mailing address
20 N CLARK ST, CHICAGO, IL 60602-4109
(800) 866-7556
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011769
IL
101YP2500X
Professional Counselor
180011769
IL
Other
Enumeration date
08/28/2018
Last updated
07/01/2019
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