Individual
MARY E. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST STE 2E, CHICAGO, IL 60612
(312) 996-7416
(312) 413-8204
Mailing address
6428 JOLIET RD, SUITE 201, LA GRANGE HIGHLANDS, IL 60525-4646
(708) 352-4448
(708) 352-1052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-072183
IL
Other
Enumeration date
07/03/2006
Last updated
07/30/2018
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