SearchIllinois363A00000X

Leah Gonneville, PA-C

NPI 1902552102 · on the registry since 2022

Practice

Address
1642 N Marshfield Ave Apt 2r
Chicago, IL 60622
Phone
(207) 436-5078

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois