Lewis, Dorenda

Lewis, Dorenda is an individual health care provider with primary practice located at 4177 S Archer Ave , Chicago IL 60632-1849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lewis, Dorenda can be contacted via phone (773) 254-2222.

Contact Information

Primary practice address
4177 S Archer Ave Chicago IL 60632-1849
Phone: (773) 254-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209009219 Illinois

Profile Details

NPI number 1407197841
LBN Legal business name Lewis, Dorenda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Jul 16th, 2019 - about 7 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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