Individual
CHERYL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2250 E CRESTWOOD ST, KANKAKEE, IL 60901-2803
(815) 933-0730
Mailing address
728 S MYRTLE AVE, KANKAKEE, IL 60901-5452
(815) 592-5974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020874
IL
Other
Enumeration date
04/01/2020
Last updated
03/14/2022
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