Individual
MCKENNA VENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3445 N CENTRAL AVE, CHICAGO, IL 60634-4420
(773) 205-0800
Mailing address
303 WOODLANDS CT, HARTLAND, WI 53029-2295
(262) 366-7872
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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