Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ian Zachary Lewis, DO

Individual provider Nephrology Physician · NPI 1053937995

Dr. Ian Zachary Lewis, DO is a Nephrology Physician in Peoria, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Phone: (309) 676-8123
Fax: (309) 676-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1302 Franklin Ave Ste 3000, Normal, IL 61761 — (309) 676-8123
  • 702 Rittenhouse, Pontiac, IL 61764 — (309) 676-8123

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036180691 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036180691 (IL)

Record details

NPI number1053937995
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 16, 2020
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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