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STACEY LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 234-4310
(224) 271-4600
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 234-4310
(224) 271-4600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005915
IL
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
07/26/2016
Last updated
11/16/2023
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