Individual
JONATHAN MARTIN LENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 SHUMAN BLVD STE 700, NAPERVILLE, IL 60563-8422
(877) 632-6637
(708) 409-5179
Mailing address
55 SHUMAN BLVD STE 700, NAPERVILLE, IL 60563-8422
(877) 632-6637
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009349
IL
Other
Enumeration date
08/18/2022
Last updated
12/05/2022
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