SearchIllinois343900000X

Glen Lewis

NPI 1447030119 · on the registry since 2023 · sole proprietor

Practice

Address
6955 North Ave Ste G3
Oak Park, IL 60302
Phone
(773) 213-0132
Organisation at this address
New Gene Labs Llc
Inductor Of Healing,Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
343900000X
343900000X
Sex
Male
Record last updated
2023-10-02

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