Active NPI
Steven M Lewis MD SC
- Specialist
- Geneva, IL
National Provider Identifier
1861664674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036057142
- Legal business name
- STEVEN M LEWIS MD SC
- Practice address
- 1725 South St
Geneva, IL 60134-2584 - Phone
- (630) 232-6111
- Fax
- (630) 232-6175
- NPI assigned
- Apr 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven M Lewis, M.D.
- Title
- President
- Phone
- (630) 232-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036057142 | IL | Primary |
Addresses
Primary practice location
1725 South St
Geneva, IL 60134-2584
Mailing address
1725 South St
Geneva, IL 60134-2584
Phone (630) 232-6111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057142 | Medicaid | IL | |
| 4525829 | Other | IL | BLUE CROSS BLUE SHIELD ILLINOI |
National Provider Directory
National Provider DirectoryLocations
1725 South St
Geneva, IL 60134
Phone (630) 232-6111
1725 South St
Ste A
Geneva, IL 60134
Phone (630) 232-6111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412035200000",
"number": "1861664674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 SOUTH ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342584",
"telephone_number": "630-232-6111",
"fax_number": "630-232-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 SOUTH ST",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342584",
"telephone_number": "630-232-6111",
"fax_number": "630-232-6175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M LEWIS MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2014-09-30",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-232-6111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036057142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057142",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ILLINOI",
"identifier": "4525829",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.