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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750350187 | NPPES |
Indiana | MEDICAID | 200200710A | |
Indiana | Other | K46442 |
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