Individual
MR. ANDREW THEOPHILUS LENART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3825 HIGHLAND AVE STE 210, DOWNERS GROVE, IL 60515-1561
(630) 435-6100
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(306) 469-9200
(630) 717-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006197
IL
Other
Enumeration date
06/09/2017
Last updated
06/13/2022
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