Individual
MIKAILA LEVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 WARRENVILLE RD STE 300, LISLE, IL 60532-1348
(630) 364-7850
(630) 432-6604
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-010718
IL
Other
Enumeration date
03/20/2023
Last updated
12/13/2024
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