DORENDA LEWIS

CHICAGO, IL
NPI1407197841
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209009219)
Enumeration Date2013-03-11
Last Update Date2019-07-16
Business Address
DORENDA LEWIS NP
4177 S ARCHER AVE
CHICAGO, IL 60632-1849
Phone number: 773-254-2222
Mailing Address
DORENDA LEWIS NP
3170 W 83RD PL
CHICAGO, IL 60652-3423
Phone number: 773-405-0294