Johnnie Lewis DPM

NPI 1013998194 - Podiatrist - 213E00000X

NPI Details
NPI 1013998194
Gender Male
Enumeration Date 11/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6259 S COTTAGE GROVE AVE
CHICAGO IL, 60637-2529, US
Phone (773) 288-1191
Fax (773) 288-5502
Business Location
6259 S COTTAGE GROVE AVE
CHICAGO IL, 60637-2529, US
Phone (773) 288-1191
Fax (773) 288-5502
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Dr. Johnnie Lewis DPM NPI is 1013998194, taxonomy code is 213E00000X Johnnie Lewis DPM physically located at 6259 S Cottage Grove Ave, Chicago IL, 60637-2529. NPI Number Johnnie Lewis DPM has the Individual type.

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1013998194 NPI number is provided on an as is basis without warranty of any kind. 1013998194 is maintained by the National Plan & Provider Enumeration System. The contents of Johnnie Lewis DPM are for informational purposes only.