Fugazy, Lenni

Fugazy, Lenni is an individual health care provider with primary practice located at 1611 W Harrison St # 400 , Chicago IL 60612-4861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fugazy, Lenni can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St # 400 Chicago IL 60612-4861
Phone: (312) 243-4244
Fax: (312) 942-1517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104242 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002149 Illinois

Profile Details

NPI number 1619922481
LBN Legal business name Fugazy, Lenni
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619922481 NPPES
Illinois Other 1633878 BCBS PPO
Illinois Other P00990032 BCBS PPO
Illinois MEDICAID 292866300 BCBS PPO

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