Individual
MR. JOHN O LEWIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6342 28TH ST APT 16, BERWYN, IL 60402-2723
(773) 712-7928
Mailing address
6342 28TH ST APT 16, BERWYN, IL 60402-2723
(773) 712-7928
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
12/12/2018
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