Individual
CHARU M LEVERENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 WARRENVILLE RD, LISLE, IL 60532-1348
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(847) 312-7808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004176
IL
Other
Enumeration date
11/30/2011
Last updated
07/24/2023
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