DR. Johnnie Lewis, DPM

NPI #1013998194 in Chicago, Illinois

Provider Information

NPI Number: 1013998194
Entity Type: Individual
Name: DR. Johnnie Lewis, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Nov 7, 2005
Last Updated: Dec 31, 2021

Practice Location

Address: 2850 S WABASH AVE
Address 2: STE 206
City: Chicago
State: Illinois
ZIP Code: 60616-2491
Phone: (312) 674-1191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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