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Individual

JONATHAN A SENAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 883-0677
Mailing address
11460 SOUTH BROADWAY, CROWN POINT, IN 46307-7106
(219) 488-0176
(219) 661-1408

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01058286A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
IL

Other

Enumeration date
06/28/2006
Last updated
07/08/2007
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