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NPI Code Detail

MEDICARE: THOMAS J LEWANDOWSKI PA-C

MEDICARE: THOMAS J LEWANDOWSKI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085002222IL

General Provider Information

NPI Number : 1144328741
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS J LEWANDOWSKI PA-C
Provider Business Mailing Address
First Line : 1550 N RANDALL RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-7876
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Provider Business Practice Location Address
First Line : 1550 N RANDALL RD
Second Line :
City : ELGIN
State : IL
Zip : 60123-7876
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 08/30/2022

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Directions to “ THOMAS J LEWANDOWSKI PA-C” Practice Location

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