LEAH ELIZABETH GONNEVILLE

CHICAGO, IL
NPI1902552102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085008942)
Enumeration Date2022-02-25
Last Update Date2022-05-20
Business Address
LEAH ELIZABETH GONNEVILLE PA-C
1642 N MARSHFIELD AVE APT 2R
CHICAGO, IL 60622-1445
Phone number: 207-436-5078
Mailing Address
LEAH ELIZABETH GONNEVILLE PA-C
1642 N MARSHFIELD AVE APT 2R
CHICAGO, IL 60622-1445
Phone number: 207-436-5078