DR. CHARRON MCKENZIE LEWIS M.D. NPI 1831516962

NPI Information

  • NPI: 1831516962
  • Provider Name: DR. CHARRON MCKENZIE LEWIS, M.D.
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE # MC8016
    CHICAGO, IL
    ZIP 60637
  • Phone: (773) 834-6822

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NPI Details

DR. Charron Mckenzie Lewis, M.D. is a developmental - behavioral pediatrics pediatrics in Chicago, IL. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. DR. Charron Mckenzie Lewis, M.D. NPI is 1831516962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5841 S MARYLAND AVE # MC8016
CHICAGO, IL
ZIP 60637
Phone: (773) 834-6822
Fax: (773) 702-0208

The NPI 1831516962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 7/21/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics036143391ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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