Provider Demographics
NPI:1891770152
Name:SCHEWITZ, LIONEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:LIONEL
Middle Name:J
Last Name:SCHEWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 N WESTMORELAND RD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1674
Mailing Address - Country:US
Mailing Address - Phone:847-234-3860
Mailing Address - Fax:847-234-3981
Practice Address - Street 1:900 N WESTMORELAND RD
Practice Address - Street 2:SUITE 228
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1674
Practice Address - Country:US
Practice Address - Phone:847-234-3860
Practice Address - Fax:847-234-3981
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-037741207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILD10950Medicare UPIN
ILPO1019Medicare ID - Type Unspecified