DR. LUBOW OLGA LEWICKY (NPI# 1124013685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013685 |
| Entity Type | Individual |
| Full Name | DR. LUBOW OLGA LEWICKY |
| Credential | MD |
| Practice Address |
375 N Wall St Suite P410 Kankakee IL 60901-3483 |
| Practice Telephone | 8159327474 |
| Practice Fax Number | 8159378206 |
| Mailing Telephone | 8159327474 |
| Mailing Fax Number | 8159378206 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036095446 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036095446 | 05 |
| Street Address |
375 N WALL ST SUITE P410 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1497112684 | Julie Richardson | Nurse Practitioner | 375 N Wall St, Kankakee, IL 60901-3483 | 2016-01-20 |
| 1871824987 | Emily C Rodriguez | Physician Assistant | 375 N Wall St, Suite P530, Kankakee, IL 60901-3483 | 2010-01-29 |
| 1740434760 | Hearing Things, Inc. | Hearing Aid Equipment | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-11-05 |
| 1649422619 | Kristin Marie Balthazor | Physician Assistant | 375 N Wall St, Ste P530, Kankakee, IL 60901 | 2008-10-21 |
| 1891964649 | Patricia Joan Croix | Audiologist-Hearing Aid Fitter | 375 N Wall St, Suite P620, Kankakee, IL 60901-3483 | 2008-02-26 |
| 1235349598 | Vikas K. Patel | Internal Medicine | 375 N Wall St, Ste 310, Kankakee, IL 60901-3483 | 2007-05-23 |
| 1063538312 | Med-peds Associates,p.c. | Internal Medicine | 375 N Wall St, Ste P520, Kankakee, IL 60901-3483 | 2007-03-21 |
| 1730212309 | Nicole S. Nettgen | Advanced Practice Midwife | 375 N Wall St, Suite P630, Kankakee, IL 60901-3483 | 2007-03-13 |
| 1669556593 | John V Jurica | Family Medicine | 375 N Wall St, Suite P510, Kankakee, IL 60901-3483 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538580725 | Renuka Ramakrishna Md Sc | Obstetrics & Gynecology | 400 N Wall St Ste 403, Kankakee, IL 60901-2963 | 2013-12-15 |
| 1326208380 | Felix El-daief | Obstetrics & Gynecology | 2273 River Rd, Kankakee, IL 60901-7147 | 2008-06-12 |
| 1548214711 | Renuka J Ramakrishna | Obstetrics & Gynecology | 400 N Wall St Ste 308, Kankakee, IL 60901-2964 | 2006-05-20 |
| 1841285301 | Roger Leon Taylor | Obstetrics & Gynecology | 375 N Wall St, Suite P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1770905093 | Yalamanchili Obgyn Sc | Obstetrics & Gynecology | 400 N Wall St, Suite 403, Kankakee, IL 60901-2940 | 2014-01-07 |
| 1518991538 | Riverview Ob-gyn, Ltd | Obstetrics & Gynecology | 400 N Wall St, Suite 403, Kankakee, IL 60901-2940 | 2006-07-10 |
| 1619962941 | Valerie Marie Goldfain | Obstetrics & Gynecology | 375 N Wall St, Ste P410, Kankakee, IL 60901-3483 | 2005-09-13 |
| 1104811660 | Patricia Azzarelli Lynch | Obstetrics & Gynecology | 375 N Wall St, Ste P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1134114697 | Karen Arnell Sanders | Obstetrics & Gynecology | 375 N Wall St, Ste P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| 1093700551 | Westwood Obstetrics & Gynecology | Obstetrics & Gynecology | 375 N Wall St, Ste P410, Kankakee, IL 60901-3483 | 2005-09-12 |
| Find all providers in KANKAKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.