Individual
IMANI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3819 S WABASH AVE APT 2W, CHICAGO, IL 60653-1549
(708) 238-5468
Mailing address
3819 S WABASH AVE APT 2W, CHICAGO, IL 60653-1549
(708) 238-5468
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.113443
IL
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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