Gregory M Lewis
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
908 N Elm St Ste 404
Hinsdale
, Illinois 60521-3638
Gregory M Lewis
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
908 N Elm St Ste 404
Hinsdale
, Illinois 60521-3638
(630) 789-9093
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Gregory M Lewis
- 900 S Frontage Rd Suite 325
- Woodridge, IL
- Zip : 60517-4903
- Fax : (630) 789-9093
- Phone : (630) 789-3422
Second Address
- Gregory M Lewis
- 908 N Elm St Ste 404
- Hinsdale, IL
- Zip : 60521-3638
- Phone : (630) 789-3422
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | 036-075101 | IL |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036075101 | IL |
National Provider Identifier
| NPI | 1104864321 |
|---|---|
| Provider Name | Gregory M Lewis |
| First Address | Woodridge, IL 60517-4903 |
| Second Address | Hinsdale, IL 60521-3638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2006 |
| Last Update Date | 22/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1912218850 | NPI GROUP PRACTICE (01) | IL |
| E82085 | (02) | IL |
| IL4174011 | MEDICARE-LOCALITY 16 (01) | IL |
| IL4177011 | MEDICARE-LOCALITY 15 (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.