Individual
AMY SUE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
34855 N JAMES AVE, INGLESIDE, IL 60041-9574
(224) 406-2755
(262) 577-8399
Mailing address
34855 N JAMES AVE, INGLESIDE, IL 60041-9574
(224) 406-2755
(262) 577-8399
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
085207
IA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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