Individual
ALEX J LEVERENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
880 W CENTRAL RD, STE 4500, ARLINGTON HEIGHTS, IL 60005-2388
(217) 383-6792
Mailing address
880 W CENTRAL RD, STE 4500, ARLINGTON HEIGHTS, IL 60005-2388
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004211
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004211
STATE LICENSE
IL
Enumeration date
11/30/2011
Last updated
05/05/2021
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