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Mrs. Lenni Fugazy, PA
Surgical Physician Assistant in Chicago, Illinois
NPI 1619922481

Lenni Fugazy is a Surgical Physician Assistant based in Fort Myers, IL and is specialized in Surgical. Lenni Fugazy practices in Chicago, IL and has the professional credentials of PA. The NPI Number for Lenni Fugazy is 1619922481 and holds a License No. PA9104242 (Illinois).

The current practice location address for Lenni Fugazy is 1611 W Harrison St # 400, Chicago, IL and can be reached out via phone at 312-243-4244 and via fax at 312-942-1517. You can also correspond with Lenni Fugazy through the mailing address at 1041 WYOMI DR, FORT MYERS, FL - 33919-2635 (mailing address contact number: 239-321-9055).

Location: 1611 W Harrison St # 400, Chicago, IL, 33919-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619922481
Provider Name
Lenni Fugazy
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1611 W Harrison St # 400, Chicago, IL, 33919-2635
Phone Number
312-243-4244
Fax Number
312-942-1517
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1633878 01 IL BCBS PPO
P00990032 01 IL RR MEDICARE
292866300 05 FL
institution
Provider Business Practice Location Address Details
Address
1611 W Harrison St # 400
City
Chicago
State
Illinois
Zip
60612-4861
Phone Number
312-243-4244
Fax Number
312-942-1517
person
Provider Business Mailing Address Details
Address
1611 W Harrison St # 400
City
Chicago
State
Illinois
Zip
60612-4861
Phone Number
312-243-4244
Fax Number
312-942-1517
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085002149 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA9104242 (Florida)
Definition
Definition to come...
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