Letasha Lewis, MSN, FNP-C
Nurse Practitioner, Family in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1033476080
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1033476080
- Entity type
- Individual (NPI-1)
- Name
- Letasha Lewis
- Credential
- MSN, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2012
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 277001315 | IL | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 277001315 | IL | |
| 261QP3300X | Clinic/Center, Pain | 277001315 | IL | |
| 363L00000X | Nurse Practitioner | 277001315 | IL |
Practice location
20280 Governors Hwy Ste 102Olympia Fields, IL 60461-1068
Phone 773-234-0388 · Fax 773-234-0394
Mailing address
900 Ogden Ave # 335Downers Grove, IL 60515-2829
Phone 773-234-0388 · Fax 773-234-0394
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