Individual
PAULINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19550 GOVERNORS HWY STE 3300, FLOSSMOOR, IL 60422-2125
(708) 915-7471
(773) 926-0700
Mailing address
19550 GOVERNORS HWY STE 3300, FLOSSMOOR, IL 60422-2125
(773) 926-0700
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
5150784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051297728
IL BOARD OF PHARMACY
IL
01
—
30898
NC BOARD OF PHARMACY
NC
Enumeration date
01/11/2025
Last updated
06/25/2025
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