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1528568094
MARY GRACE LEWIS
CHICAGO, IL
NPI
1528568094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209016937)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
MARY GRACE LEWIS APN
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 513-600-1807
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Mailing Address
MARY GRACE LEWIS APN
2918 N SHEFFIELD AVE APT 3N
CHICAGO, IL 60657-5672
Phone number:
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