Lewis, Daryle

Lewis, Daryle is an individual health care provider with primary practice located at 8610 S Morgan St , Chicago IL 60620-3248. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Lewis, Daryle can be contacted via phone (773) 992-6851.

Contact Information

Primary practice address
8610 S Morgan St Chicago IL 60620-3248
Phone: (773) 992-6851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1427561331
LBN Legal business name Lewis, Daryle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2017
Last updated Nov 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427561331 NPPES
Illinois MEDICAID 26337

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