Individual
ILENE CASTILLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5399
(618) 233-7750
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-9991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036176532
IL
207L00000X
Anesthesiology Physician
MD2019-0155
NM
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036176532
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD2019-0155
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760641930
—
WI
Enumeration date
06/03/2008
Last updated
10/06/2025
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