Organization Active NPI

Nolan S Lewis MD SC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Melrose Park, IL
National Provider Identifier
1710151261
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
NOLAN S LEWIS MD SC
Practice address
1440 W North Ave
Suite 201
Melrose Park, IL 60160-1425
Phone
(708) 343-4280
Fax
(408) 343-4287
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Nolan S Lewis, MDNPI 1780729269
Title
President
Phone
(708) 343-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X IL
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X IL Primary

Addresses

Primary practice location

1440 W North Ave
Suite 201
Melrose Park, IL 60160-1425

Mailing address

1440 W North Ave
Suite 201
Melrose Park, IL 60160-1425
Phone (708) 343-4280

Other identifiers 1

IdentifierTypeStateIssuer
1780729269OtherNPI

National Provider Directory

National Provider Directory

Locations

1440 W North Ave
Ste 201
Melrose Park, IL 60160
Phone (708) 343-4280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1710151261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE",
            "address_2": "SUITE 201",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601425",
            "telephone_number": "708-343-4280",
            "fax_number": "408-343-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE",
            "address_2": "SUITE 201",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601425",
            "telephone_number": "708-343-4280",
            "fax_number": "408-343-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN S LEWIS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-343-4280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780729269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.