DR. PAUL BENNETT LEWIS (NPI# 1477710424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477710424 |
| Entity Type | Individual |
| Full Name | DR. PAUL BENNETT LEWIS |
| Credential | MD MS |
| Practice Address |
1645 W Ogden Ave Suite 513 Chicago IL 60612 |
| Mailing Address |
1040w Adams St 369 Chicago IL 60607-3090 |
| Practice Telephone | 3122097285 |
| Mailing Telephone | 3122097285 |
| Mailing Fax Number | 8842091579 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036.127055 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
036.127055 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1255605887 | Paul Kenneth Lewis | Pharmacist | 401 E Chestnut St Unit 180, Louisville, KY 40202-5701 | 2012-02-29 |
| 1265705164 | Paul Leroy Lewis | Pathology | 521 Baird Road, Merion Station, PA 19066 | 2012-02-23 |
| 1235358458 | Paul Edward Lewis | Acupuncturist | 1881 S Delsea Dr, Vineland, NJ 08360-6398 | 2007-04-25 |
| 1770615312 | Paul Yosepa Lewis | Specialist | 1605a S Main St, Broken Arrow, OK 74012-5604 | 2007-03-09 |
| 1033248372 | Paul Roberson Lewis | Pharmacist | 202 Glen Trl, Brandon, MS 39047-6355 | 2007-03-04 |
| 1962544437 | Paul Lee Lewis | Dentist | 2802 North Saginaw Road, Midland, MI 48640-2634 | 2007-02-13 |
| 1780754028 | Paul Wesley Lewis | Radiology | 613 23rd St Ste 140, Ashland, KY 41101-2876 | 2006-11-08 |
| 1649241811 | Paul C. Lewis | Orthopaedic Surgery | 6815 Dixie Hwy Ste 1, Clarkston, MI 48346-2092 | 2006-01-27 |
| 1295721603 | Paul E Lewis IIi | Family Medicine | 11800 Tech Rd, Silver Spring, MD 20904 | 2005-09-21 |
| Street Address |
1645 W OGDEN AVE SUITE 513 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043411432 | Cassandra Eileen Hodges | Dentist | 1645 W Ogden Ave, Chicago, IL 60612-3233 | 2007-05-31 |
| 1811370083 | Theodore Harry Dimoulis | Dentist | 1645 W Ogden Ave, Unit 506, Chicago, IL 60612-4199 | 2015-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. PAUL BENNETT LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.