JOHNNIE LEWIS D.P.M P.C NPI 1235384801

NPI Information

JOHNNIE LEWIS D.P.M P.C is a foot and ankle surgery podiatrist in Chicago, IL. JOHNNIE LEWIS D.P.M P.C NPI is 1235384801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2850 S WABASH AVE
STE 206
CHICAGO, IL
ZIP 60616-955
Phone: (312) 674-1191
Fax: (312) 674-1192

The provider's authorized official is Johnnie Lewis .
The authorized official title is President and has the following contact phone number (312) 674-1191.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 12/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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