Individual
VIRGINIA LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10701 S EWING AVE, CHICAGO, IL 60617-6606
(773) 731-9000
Mailing address
627 TOM KEMP DR, NEW BRAUNFELS, TX 78130-3681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008682
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2021
Last updated
12/08/2021
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