Individual
JENNIFER L LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2310 DEAN ST, ST CHARLES, IL 60175
(630) 584-8984
(630) 584-1308
Mailing address
1860 PAYSHERE CIRCLE, CHICAGO, IL 60674-0001
(630) 545-6016
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036104121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104121
—
IL
Enumeration date
10/06/2006
Last updated
08/17/2020
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