Individual
AMY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FPA
Contact information
Practice address
303 W LAKE ST, ADDISON, IL 60101-2586
(331) 221-0570
(331) 221-2745
Mailing address
303 W LAKE ST, ADDISON, IL 60101-2586
(331) 221-0570
(331) 221-2745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020213
IL
363L00000X
Nurse Practitioner
Primary
277002619
IL
Other
Enumeration date
10/16/2019
Last updated
06/05/2023
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