NPI 1013248624
Keisha Lewis, DT
Practice location
- Address
- 834 W 111th St, Chicago, IL 60643-3839
- Phone
- (773) 568-0743
- Fax
- (773) 568-0743
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1013248624
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jan 2010
- Record last updated
- 21 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.