Individual
DR. CHARRON MCKENZIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637
(773) 834-6822
(773) 702-0208
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
036143391
IL
Other
Enumeration date
03/26/2014
Last updated
07/21/2022
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