Edmund J Lewis

NPI #1306900386 in Chicago, Illinois

Provider Information

NPI Number: 1306900386
Entity Type: Organization
Organization Name: Edmund J Lewis
Primary Specialty: Specialist
Enumeration Date: Dec 21, 2006
Last Updated: Dec 30, 2021

Practice Location

Address: 1426 W WASHINGTON BLVD
City: Chicago
State: Illinois
ZIP Code: 60607-1821
Phone: (312) 829-1424

Authorized Official

Name: DR. SAMUEL NEAL SALTZBERG, DR
Title: DOCTOR
Phone: (312) 829-1424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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