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NPI 1982881256

NPI 1982881256 : LEWIS BARR, M.D.,S.C. : RIVERWOODS, IL

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General NPI Number Information
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    NPI Number           |    1982881256
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEWIS BARR, M.D.,S.C. 
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Dates
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    Enumeration Date     |    01/29/2008
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    Last Update Date     |    05/14/2015
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Provider Practice Location Address
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    Address Line         |    5 COLUMBINE LN 
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    City                 |    RIVERWOODS
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    State                |    IL
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    Zip                  |    60015-3546
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    Country              |    US
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    Telephone            |    708-468-4070
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5 COLUMBINE LN 
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    City                 |    RIVERWOODS
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    State                |    IL
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    Zip                  |    60015-3546
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    Country              |    US
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    Telephone            |    708-468-4070
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     LEWIS  BARR 
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    Credential           |    
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    Telephone            |    847-231-5286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    036045724
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    License Number State |    IL
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