Individual
AALIYAH SIMONE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N WALNUT ST, SPRINGFIELD, IL 62702-5033
(217) 545-8000
Mailing address
1429 GOVERNOR ST, SPRINGFIELD, IL 62704-1650
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
IL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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