Individual
BRENNA SELENA LEIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24600 W 127TH ST, PLAINFIELD, IL 60585-9507
(630) 961-7485
(815) 731-4406
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007116
IL
363AM0700X
Medical Physician Assistant
085007116
IL
Other
Enumeration date
07/22/2019
Last updated
12/02/2025
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