Jacob S Lewis, Dmd, P.c.

NPI #1003351503 in North Chicago, Illinois

Provider Information

NPI Number: 1003351503
Entity Type: Organization
Organization Name: Jacob S Lewis, Dmd, P.c.
Primary Specialty: Dentist
Enumeration Date: Dec 20, 2016
Last Updated: Dec 20, 2016

Practice Location

Address: 2233 GREENBAY RD
City: North Chicago
State: Illinois
ZIP Code: 60064
Phone: (312) 206-9541

Authorized Official

Name: DR. JACOB STEVEN LEWIS, DMD
Title: DENTIST
Phone: (312) 206-9541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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