person
Lewis Wasserman
Foot Surgery Podiatrist in Northbrook, Illinois
NPI 1821284506

Lewis Wasserman is a Foot Surgery Podiatrist based in Northbrook, IL and is specialized in Foot Surgery. Lewis Wasserman practices in Northbrook, IL. The NPI Number for Lewis Wasserman is 1821284506 and holds a License No. 016004408 (Illinois).

The current practice location address for Lewis Wasserman is 40 Skokie Blvd Ste 520, Northbrook, IL and can be reached out via phone at 847-504-5000 and via fax at 847-504-5015. You can also correspond with Lewis Wasserman through the mailing address at PO BOX 917, NORTHBROOK, IL - 60065-0917 (mailing address contact number: 847-504-5000).

Location: 40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
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Provider Profile Details
NPI Number
1821284506
Provider Name
Lewis Wasserman
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 Skokie Blvd Ste 520, Northbrook, IL, 60065-0917
Phone Number
847-504-5000
Fax Number
847-504-5015
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01703994 01 WI RAILROAD MEDICARE
P01458509 01 IL RAILROAD MEDICARE
1821284506 05 WI
institution
Provider Business Practice Location Address Details
Address
40 Skokie Blvd Ste 520
City
State
Zip
60062-1601
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider Business Mailing Address Details
Address
40 Skokie Blvd Ste 520
City
State
Zip
60062-1601
Phone Number
847-504-5000
Fax Number
847-504-5015
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
016004408 (Illinois)
Definition
Definition to come...
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