Individual
DR. CHU N. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3204 N PULASKI RD, CHICAGO, IL 60641-4728
(773) 202-0377
Mailing address
3204 N PULASKI RD, CHICAGO, IL 60641-4728
(773) 202-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013023435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9184610
—
IL
Enumeration date
05/18/2007
Last updated
07/08/2007
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