Individual
TROY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125.073792
IL
2085R0202X
Diagnostic Radiology Physician
OS22201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127989400
—
FL
Enumeration date
03/20/2019
Last updated
09/10/2025
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