Provider Demographics
NPI:1417095225
Name:LEWANDOWSKI, MARGARET ANN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 RUTHENBECK LN
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-2584
Mailing Address - Country:US
Mailing Address - Phone:815-463-8702
Mailing Address - Fax:
Practice Address - Street 1:1640 WILLOW CIRCLE DR
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60435-0959
Practice Address - Country:US
Practice Address - Phone:815-740-2525
Practice Address - Fax:815-740-2522
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CJ5053OtherRAILROAD MEDICARE
1891810677OtherGROUP NPI
CJ5053OtherRAILROAD MEDICARE
202327Medicare PIN