Individual provider · Type 1 NPI

Ian Zachary Lewis, DO

Nephrology Physician · Peoria, IL

NPI number 1053937995 Active

Practice location

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603

Call (309) 676-8123 Map

Fax (309) 676-8455

Mailing address

1240 E Monroe St
Morton, IL 61550-2356

Other practice locations

  • 1302 Franklin Ave Ste 3000, Normal, IL 61761 · (309) 676-8123
  • 702 Rittenhouse, Pontiac, IL 61764 · (309) 676-8123

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X036180691 (IL)
Internal Medicine Physician 207R00000X036180691 (IL)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1053937995

Ian Zachary Lewis, DO's National Provider Identifier is 1053937995, issued on Jun 16, 2020. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Peoria, IL. The record was last updated on Jul 1, 2026.