Lew, Jennifer L

Lew, Jennifer L is an individual health care provider with primary practice located at 2310 Dean St , St Charles IL 60175. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lew, Jennifer L can be contacted via phone (630) 584-8984.

Contact Information

Primary practice address
2310 Dean St St Charles IL 60175
Phone: (630) 584-8984
Fax: (630) 584-1308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036104121 Illinois

Profile Details

NPI number 1811084452
LBN Legal business name Lew, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 17th, 2020 - about 4 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 1811084452 NPPES
Illinois MEDICAID 036104121

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