Lea Gindville
NPI #1467179242 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1467179242
- Entity Type
- Individual
- Name
- Lea Gindville
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 6712 N CONVENT ST
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1528
- Phone
- (815) 928-8050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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