Organization
DAWN M LEE, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN LEE (OD)
(312) 852-4455
Entity
Organization
Contact information
Practice address
2057 N CLYBOURN AVE, CHICAGO, IL 60614-4003
(773) 477-3475
Mailing address
1036 N CROSBY ST, CHICAGO, IL 60610-2404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225199565
NPI
IL
Enumeration date
04/11/2018
Last updated
04/11/2018
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