Individual
JOHN MICHAEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
Mailing address
120 S MARION ST, OAK PARK, IL 60302-2809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007362
IL
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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