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Shalanda Lewis

NPI 1134888480 · on the registry since 2021

Practice

Address
12863 S Normal Ave
Chicago, IL 60628
Phone
(312) 479-1530
Fax
(312) 479-1530

Registry record

Primary taxonomy
247ZC0005X
247ZC0005X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois