Lewis, Shannon Rose

Lewis, Shannon Rose is an individual health care provider with primary practice located at 3314 S Cicero Ave , Cicero IL 60804-4531. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Shannon Rose can be contacted via phone (708) 391-3030.

Contact Information

Primary practice address
3314 S Cicero Ave Cicero IL 60804-4531
Phone: (708) 391-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209016553 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277002213 Illinois

Profile Details

NPI number 1659882736
LBN Legal business name Lewis, Shannon Rose
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Jun 29th, 2023 - about 3 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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