Edmund J Lewis

Primary specialty

SpecialistTaxonomy code 174400000X

License

036082043 Issued in IL

Legal business name

EDMUND J LEWIS

Practice address

1426 W Washington Blvd
Chicago, IL 60607-1821

Phone

(312) 829-1424

Fax

(312) 850-8431

NPI assigned

Dec 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Neal Saltzberg, DR

Title

Doctor

Phone

(312) 829-1424

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Edmund J Lewis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Edmund J Lewis M D & Associates

  • Nephrology Physician
  • Chicago, IL
  • NPI 1588676944
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Whittier, MD

  • Nephrology Physician
  • Chicago, IL
  • NPI 1609981471

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1306900386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72354",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "312-829-1424",
            "fax_number": "312-850-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071821",
            "telephone_number": "312-829-1424",
            "fax_number": "312-850-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMUND J LEWIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "SALTZBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "312-829-1424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036082043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS ID #",
            "identifier": "01615381",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082043",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC ID#",
            "identifier": "390002208RR",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1426 W Washington Blvd",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606071821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chandi K. Edmonds, MPT, DPT
• Maxwell Ethan Edmonds
• Millie Ninette Edmonds
• Zoe Edmonds
• Hart Logsdon Edmonson, MD
• Edmund J Lewis M D & Associates
• Edmund W Vizinas, MD SC
• Jane Edmunds
• Meghan Kathleen Edmundson, M.D.
• Edna Richard M D

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.