Individual provider · Type 1 NPI

Berry Lewis, MD

Emergency Medical Services (Emergency Medicine) Physician · Evergreen Park, IL

NPI number 1669456729 Active

Practice location

2800 W 95th St
Evergreen Park, IL 60805-2746

Fax (708) 422-4415

Mailing address

9204 S Pleasant Ave
Chicago, IL 60620-5513

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X036075439 (IL)
Emergency Medicine Physician 207P00000X036075439 (IL)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1669456729

Berry Lewis, MD's National Provider Identifier is 1669456729, issued on Dec 2, 2005. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Evergreen Park, IL. The record was last updated on Sep 21, 2016.