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Individual

ASHLEY LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 W LAKE ST, HANOVER PARK, IL 60133-4302
(630) 556-2000
Mailing address
3919 CARRINGTON CT, HAZEL CREST, IL 60429-2476
(331) 255-7110

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005314
IL

Other

Enumeration date
01/29/2020
Last updated
01/29/2020
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