Individual
JEREMY LENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
14738 S PENN RD, PLAINFIELD, IL 60544-2828
(312) 765-3380
Mailing address
14738 S PENN RD, PLAINFIELD, IL 60544-2828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041437215
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030028
IL
Other
Enumeration date
08/26/2022
Last updated
03/20/2025
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