Peter R Lewy, MD

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

036039917 Issued in IL

Practice address

1144 Wilmette Ave
Wilmette, IL 60091-2604

Phone

(847) 256-6480

Fax

(847) 256-6482

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1841277928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WILMETTE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912604",
            "telephone_number": "847-256-6480",
            "fax_number": "847-256-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 WILMETTE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912604",
            "telephone_number": "847-256-6480",
            "fax_number": "847-256-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWY",
        "first_name": "PETER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": "036039917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nephrology Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Pediatric Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.