Wasserman, Lewis

Wasserman, Lewis is an sole proprietor health care provider with primary practice located at 40 Skokie Blvd Ste 520 , Northbrook IL 60062-1601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Wasserman, Lewis can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 016004408 Illinois

Profile Details

NPI number 1821284506
LBN Legal business name Wasserman, Lewis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2007
Last updated Jan 22nd, 2019 - about 5 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 1821284506 NPPES
Wisconsin Other P01703994 RAILROAD MEDICARE
Wisconsin Other P01458509 RAILROAD MEDICARE
Wisconsin MEDICAID 1821284506 RAILROAD MEDICARE

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