| Dr Charron Mckenzie Lewis, MD | |
| 
					5841 S Maryland Ave # Mc8016, Chicago, IL 60637  | |
| (773) 834-6822 | |
| (773) 702-0208 | 
| Full Name | Dr Charron Mckenzie Lewis | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics | 
| Location | 5841 S Maryland Ave # Mc8016, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831516962 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 036143391 (Illinois) | Primary | 
| Entity Name | The Metrohealth System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355  | 
| Entity Name | University Hospitals Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Charron Mckenzie Lewis, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150  | Dr Charron Mckenzie Lewis, MD 5841 S Maryland Ave # Mc8016, Chicago, IL 60637 Ph: (773) 834-6822  | 
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519  | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190  | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631  | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346  | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000  | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000  | |
Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273  |