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Contact Information

JACOB S LEWIS, DMD, P.C.
2233 GREENBAY RD
NORTH CHICAGO, IL60064
 Phone: 312-206-9541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JACOB S LEWIS, DMD, P.C.

NPI # 1003351503
LBN Legal business name JACOB S LEWIS, DMD, P.C.
Authorized official JACOB LEWIS - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2016
Last updated 12/20/2016 - About 9 years ago
Identifiers
IL License # 019030478
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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