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Edmund J Lewis
Specialist in Chicago, Illinois
NPI 1306900386

Edmund J Lewis is a Specialist based in Cleveland, IL. Edmund J Lewis practices in Chicago, IL. The NPI Number for Edmund J Lewis is 1306900386 and holds a License No. 036082043 (Illinois).

The current practice location address for Edmund J Lewis is 1426 W Washington Blvd, Chicago, IL and can be reached out via phone at 312-829-1424 and via fax at 312-850-8431.

Location: 1426 W Washington Blvd, Chicago, IL, 44192-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306900386
Provider Name
Edmund J Lewis
Credential
Provider Entity Type
Organization
Address
1426 W Washington Blvd, Chicago, IL, 44192-0002
Phone Number
312-829-1424
Fax Number
312-850-8431
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01615381 01 IL BLUECROSS ID #
036082043 05 IL
390002208RR 01 IL RAILROAD MC ID#
institution
Provider Business Practice Location Address Details
Address
1426 W Washington Blvd
City
Chicago
State
Illinois
Zip
60607-1821
Phone Number
312-829-1424
Fax Number
312-850-8431
person
Provider Business Mailing Address Details
Address
1426 W Washington Blvd
City
Chicago
State
Illinois
Zip
60607-1821
Phone Number
312-829-1424
Fax Number
312-850-8431
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036082043 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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