Individual
MS. TANYA DENISE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2361 S STATE ST # 1145, CHICAGO, IL 60616-2009
(312) 498-2006
Mailing address
6334 S NORMAL BLVD, CHICAGO, IL 60621-2749
(312) 498-2006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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