Provider Demographics
NPI:1457152753
Name:LEWIS, PAUL MATTHEW (MD,MS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:MATTHEW
Last Name:LEWIS
Suffix:
Gender:
Credentials:MD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 FOX PATH LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4404
Mailing Address - Country:US
Mailing Address - Phone:224-730-8337
Mailing Address - Fax:
Practice Address - Street 1:RONALD REAGAN - UCLA MEDICAL CENTER 757 WESTWOOD PLAZA
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:224-730-8337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program