Individual
DONYAE A. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 W EASTWOOD AVE APT 216, CHICAGO, IL 60640-5146
(847) 306-9843
Mailing address
917 W EASTWOOD AVE APT 216, CHICAGO, IL 60640-5146
(773) 931-7225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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