Individual
JAIME LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Mailing address
1725 W HARRISON ST, SUITE 955, CHICAGO, IL 60612-3841
(312) 942-7030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-130665
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036130665
IL
Other
Enumeration date
06/09/2009
Last updated
08/22/2024
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