Individual
JENNA LERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6749 N OSHKOSH AVE, CHICAGO, IL 60631-1162
(773) 631-5141
Mailing address
6749 N OSHKOSH AVE, CHICAGO, IL 60631-1162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036215
IL
Other
Enumeration date
04/17/2023
Last updated
11/20/2025
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