Individual
ANASTASIYA PENTYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2718 W ROSCOE ST, CHICAGO, IL 60618-5910
(773) 541-1623
Mailing address
2718 W ROSCOE ST, CHICAGO, IL 60618-5910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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