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1407197841
DORENDA LEWIS
CHICAGO, IL
NPI
1407197841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209009219)
Enumeration Date
2013-03-11
Last Update Date
2019-07-16
Business Address
DORENDA LEWIS NP
4177 S ARCHER AVE
CHICAGO, IL 60632-1849
Phone number: 773-254-2222
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Mailing Address
DORENDA LEWIS NP
3170 W 83RD PL
CHICAGO, IL 60652-3423
Phone number: 773-405-0294
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