Provider Demographics
NPI:1710359054
Name:LEWINSKI, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:LEWINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:4CORE
Other - Middle Name:NEUROBALANCE
Other - Last Name:TRAINING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2357 HASSELL RD STE 204
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2172
Mailing Address - Country:US
Mailing Address - Phone:224-622-3790
Mailing Address - Fax:847-839-9660
Practice Address - Street 1:2357 HASSELL RD STE 204
Practice Address - Street 2:STE 204
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2172
Practice Address - Country:US
Practice Address - Phone:224-622-3790
Practice Address - Fax:847-839-9660
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1415636174400000X
IL1410359054224Y00000X
IL1415636​174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist