Organization
PLENA MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON GOEBEL (EXECUTIVE DIRECTOR)
(847) 562-5612
Entity
Organization
Contact information
Practice address
1450 TECHNY RD, NORTHBROOK, IL 60062-5447
(847) 562-5612
Mailing address
1450 TECHNY RD, NORTHBROOK, IL 60062-5447
(847) 562-5612
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
03/31/2023
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