DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHALANDA LEWIS

Active

247ZC0005X · CHICAGO, IL

Registration Details

NPI Number
1134888480
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2021 (4.3554430014884 yrs)
Last Updated
Mar 10, 2025
License
14D2245600 (IL)

Practice Information

Address
12863 S NORMAL AVE
CHICAGO, IL, 606287436
Browse IL providers · Browse ZIP 60628
Phone
3124791530
Fax
3124791530
Primary Specialty
247ZC0005X
247ZC0005X

Other 247ZC0005X Providers in CHICAGO, IL

Name Credential NPI
CHAO QI PHD 1972946812
DEANNA FRANKE PHD, DABCC 1740687482
DR. NICHOLAS M MOORE PHD 1073017679
DR. MADINA SUKHANOVA PHD 1629575972
STEVEN ABU SHAQRA DOCTOR, PHD 1144816356
TYIESHA WILSON 1891455168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.