person
Brenna Selena Leiker, PA-C
Medical Physician Assistant in Evanston, Illinois
NPI 1376196006

Brenna Selena Leiker is a Medical Physician Assistant based in Evanston, IL and is specialized in Medical. Brenna Selena Leiker practices in Evanston, IL and has the professional credentials of PA-C. The NPI Number for Brenna Selena Leiker is 1376196006 and holds a License No. 085007116 (Illinois).

The current practice location address for Brenna Selena Leiker is 2650 Ridge Ave., Evanston, IL and can be reached out via phone at 847-570-2114 and via fax at 847-570-1223.

Location: 2650 Ridge Ave., Evanston, IL, 60201-1718
person
Provider Profile Details
NPI Number
1376196006
Provider Name
Brenna Selena Leiker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2650 Ridge Ave., Evanston, IL, 60201-1718
Phone Number
847-570-2114
Fax Number
847-570-1223
Provider Enumeration Date
07/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2650 Ridge Ave.
City
State
Zip
60201-1718
Phone Number
847-570-2114
Fax Number
847-570-1223
person
Provider Business Mailing Address Details
Address
2650 Ridge Ave.
City
State
Zip
60201-1718
Phone Number
847-570-2114
Fax Number
847-570-1223
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085007116 (Illinois)
Definition
Definition to come...
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