Individual
MS. CASEY PENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2104 N CALIFORNIA AVE, CHICAGO, IL 60647-3902
(773) 484-3248
Mailing address
2104 N CALIFORNIA AVE, CHICAGO, IL 60647-3902
(773) 484-3248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
03/26/2016
Last updated
03/26/2016
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