Individual
KENNEDIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24600 W 127TH ST STE B340, PLAINFIELD, IL 60585-9517
(815) 731-9100
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011206
IL
Other
Enumeration date
04/18/2025
Last updated
07/28/2025
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