Individual
LEWIS S BLUMENTHAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 E WASHINGTON ST, SUITE 3700, CHICAGO, IL 60602-2103
(312) 263-5517
(312) 263-5565
Mailing address
55 E WASHINGTON ST, SUITE 3700, CHICAGO, IL 60602-2103
(312) 263-5517
(312) 263-5565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036059833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059833
—
IL
Enumeration date
12/07/2005
Last updated
07/08/2007
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