Individual
EUN HYE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
(312) 274-4524
Mailing address
1919 S WABASH AVE APT 718, CHICAGO, IL 60616-2066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028828
IL
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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