SearchIllinois1041C0700X

Teretha Lewis

NPI 1760848436 · on the registry since 2016 · sole proprietor

Practice

Address
12627 S Diane Dr
Palos Heights, IL 60463
Phone
(708) 608-8917
Fax
(312) 433-7935

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-11

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