Lewis, Gregory N

Lewis, Gregory N is an sole proprietor health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2039. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lewis, Gregory N can be contacted via phone (630) 653-2300.

Contact Information

Primary practice address
7 Blanchard Cir Suite 201 Wheaton IL 60189-2039
Phone: (630) 653-2300
Fax: (630) 653-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071004107 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004107 Illinois

Profile Details

NPI number 1063471027
LBN Legal business name Lewis, Gregory N
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Apr 26th, 2021 - about 3 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 1063471027 NPPES
Illinois Other 02215643 BLUE CROSS BLUE SHIELD

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