Individual
ELIZABETH A CIENNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-6150
(847) 535-7801
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 535-6150
(847) 535-7801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-006601
IL
363A00000X
Physician Assistant
5601006983
MI
Other
Enumeration date
06/23/2014
Last updated
05/03/2023
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