Gary R Lewison, MD Valid NPI

Individual provider · Internal Medicine Physician · East Dundee, IL

NPI

1902892490

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

036-066163 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-21

Last updated

2012-09-05