MEDICARE: LIDIA LEWANDOWSKA

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209033876	IL
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	041.404678	IL

General Provider Information

NPI Number	:	1932998937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIDIA LEWANDOWSKA

Provider Business Mailing Address
First Line	:	PO BOX 112
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-0112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 LAKE COOK RD STE 500
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-1454
Country	:	US
Telephone Number	:	847-320-0441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	12/14/2025

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Directions to “ LIDIA LEWANDOWSKA ” Practice Location

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