Individual
CORINNE MARIA LENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
327 W SCHILLER ST, C, CHICAGO, IL 60610-1827
(949) 395-1601
Mailing address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002574
IL
Other
Enumeration date
03/14/2007
Last updated
12/18/2008
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