| Alice-gray Lewis, DO | |
|
4140 Southwest Hwy, Hometown, IL 60456-1135 | |
| (708) 422-5700 | |
| (708) 422-8225 |
| Full Name | Alice-gray Lewis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 4140 Southwest Hwy, Hometown, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568953842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125.072035 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice-gray Lewis, DO 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 | Alice-gray Lewis, DO 4140 Southwest Hwy, Hometown, IL 60456-1135 Ph: (708) 422-5700 |
Alon Bloom, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4140 Southwest Hwy, Advocate Christ Family Medicine, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Dr. Jolyne Noel Kaar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700 | |
Carrie Salvia, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
David Michael Podrebarac, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 | |
Edward J Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Hwy, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 | |
Ms. Mehak D. Nangrani, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4140 Southwest Highway, Hometown, IL 60456 Phone: 708-422-5700 Fax: 708-422-8225 |