Individual
DR. GARY R LEWISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1141 EAST MAIN STREET, SUITE 105, EAST DUNDEE, IL 60118
(847) 428-3322
Mailing address
2500 W HIGGINS RD, SUITE 505, HOFFMAN ESTATES, IL 60169-1642
(847) 843-0806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-066163
IL
Other
Enumeration date
09/21/2005
Last updated
09/05/2012
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