Individual
KRYSTAL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 N OAK PARK AVE, SUITE 218, OAK PARK, IL 60301-1344
(708) 386-5080
Mailing address
443 W WRIGHTWOOD AVE, APT 805, CHICAGO, IL 60614-1755
(631) 662-6693
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008975
IL
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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