STACEY LEWIS

LAKE FOREST, IL
NPI1396298311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005915)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2016-07-26
Last Update Date2023-11-16
Business Address
STACEY LEWIS PA-C
1000 N WESTMORELAND RD # LEVEL1
LAKE FOREST, IL 60045-1658
Phone number: 847-234-4310
Mailing Address
STACEY LEWIS PA-C
1000 N WESTMORELAND RD # LEVEL1
LAKE FOREST, IL 60045-1658
Phone number: 847-234-4310