Basic Information
Provider Information
NPI: 1891770152
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEWITZ
FirstName: LIONEL
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 N WESTMORELAND RD
Address2: SUITE 228
City: LAKE FOREST
State: IL
PostalCode: 600451674
CountryCode: US
TelephoneNumber: 8472343860
FaxNumber: 8472343981
Practice Location
Address1: 900 N WESTMORELAND RD
Address2: SUITE 228
City: LAKE FOREST
State: IL
PostalCode: 600451674
CountryCode: US
TelephoneNumber: 8472343860
FaxNumber: 8472343981
Other Information
ProviderEnumerationDate: 12/09/2005
LastUpdateDate: 03/18/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X036-037741ILY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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