Individual
MS. JENNY KO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(847) 962-6268
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(847) 962-6268
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
041334594
IL
363LN0000X
Neonatal Nurse Practitioner
Primary
209007357
IL
Other
Enumeration date
08/28/2012
Last updated
07/02/2013
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