Individual
DR. SHARON LEWIS LIETEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 SOUTH KILPATRICK AVENUE, CHICAGO, IL 60644
(773) 854-1511
(773) 854-8300
Mailing address
7006 SOUTH EUCLID AVE, CHICAGO, IL 60649
(773) 363-3333
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
—
IL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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