Gabriella Lerner, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1003592007
StatusActive
Last updated in NPPESOct 1, 2025
Details
- NPI
- 1003592007
- Entity type
- Individual (NPI-1)
- Name
- Gabriella Lerner
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2023
- Certification date
- Oct 1, 2025
- Last updated
- Oct 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.010104 | IL | Yes |
Practice location
1500 W Chicago AveChicago, IL 60642-5236
Phone 773-482-1360
Mailing address
1500 W Chicago AveChicago, IL 60642-5236
Phone 773-482-1360
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