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Shannon Rose Lewis, FNP-BC
Family Nurse Practitioner in Cicero, Illinois
NPI 1659882736

Shannon Rose Lewis is a Family Nurse Practitioner based in Frankfort, IL and is specialized in Family. Shannon Rose Lewis practices in Cicero, IL and has the professional credentials of FNP-BC. The NPI Number for Shannon Rose Lewis is 1659882736 and holds a License No. 209016553 (Illinois).

The current practice location address for Shannon Rose Lewis is 3314 S Cicero Ave, Cicero, IL and can be reached out via phone at 708-391-3030.

Location: 3314 S Cicero Ave, Cicero, IL, 60423-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659882736
Provider Name
Shannon Rose Lewis
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3314 S Cicero Ave, Cicero, IL, 60423-1717
Phone Number
708-391-3030
Fax Number
Provider Enumeration Date
10/17/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3314 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-4531
Phone Number
708-391-3030
Fax Number
person
Provider Business Mailing Address Details
Address
3314 S Cicero Ave
City
Cicero
State
Illinois
Zip
60804-4531
Phone Number
708-391-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209016553 (Illinois)
Definition
Definition to come...
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