Lew, Angela S

Lew, Angela S is an individual health care provider with primary practice located at 8770 W Bryn Mawr Ave Suite 1300, Chicago IL 60631-3515. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lew, Angela S can be contacted via phone (877) 807-5120.

Contact Information

Primary practice address
8770 W Bryn Mawr Ave Suite 1300 Chicago IL 60631-3515
Phone: (877) 807-5120
Fax: (708) 460-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041121A Indiana

Profile Details

NPI number 1750350187
LBN Legal business name Lew, Angela S
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jun 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750350187 NPPES
Indiana MEDICAID 200200710A
Indiana Other K46442

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