Organization
STEVEN M LEWIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M LEWIS M.D. (PRESIDENT)
(630) 232-6111
Entity
Organization
Contact information
Practice address
1725 SOUTH ST, GENEVA, IL 60134-2584
(630) 232-6111
(630) 232-6175
Mailing address
1725 SOUTH ST, GENEVA, IL 60134-2584
(630) 232-6111
(630) 232-6175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036057142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057142
—
IL
01
—
4525829
BLUE CROSS BLUE SHIELD ILLINOI
IL
Enumeration date
04/01/2008
Last updated
09/30/2014
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