Individual
BRENNA LAUREN HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
69 MEDEA CREEK LN, OAK PARK, CA 91377-1051
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
085.006662
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2016
Last updated
10/27/2023
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