Individual
CHELSEA LEIGH FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 S CANAL ST, CHICAGO, IL 60607-4901
(888) 824-0200
Mailing address
1101 S CANAL ST STE 201, CHICAGO, IL 60607-4944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036168790
IL
Other
Enumeration date
05/01/2019
Last updated
03/28/2025
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