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Brenna Selena Leiker, PA-C

Physician Assistant in Plainfield, IL. Individual provider (NPI-1).

NPI number1376196006
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1376196006
Entity type
Individual (NPI-1)
Name
Brenna Selena Leiker
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2019
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085007116ILYes
363AM0700X Physician Assistant, Medical085007116IL

Practice location

24600 W 127th St
Plainfield, IL 60585-9507

Phone 630-961-7485 · Fax 815-731-4406

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Phone 847-570-2114 · Fax 847-570-1223

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