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Individual

MRS. CARLA MARIA LENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6343 S. WESTERN, CHICAGO, IL 60636
(312) 719-1811
(773) 723-7163
Mailing address
5230-34 S. BLACKSTONE, SUITE A, CHICAGO, IL 60615
(312) 719-1811
(773) 723-7163

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/04/2009
Last updated
08/04/2009
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