Individual
GEORGE LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT OF SURGERY, MAYWOOD, IL 60153-3328
(708) 327-2549
(708) 327-2548
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT OF SURGERY, MAYWOOD, IL 60153-3328
(708) 327-2549
(708) 327-2548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36104104
IL
208600000X
Surgery Physician
36104104
IL
Other
Enumeration date
02/02/2006
Last updated
04/19/2021
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