Individual
JOHN Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
(847) 467-2406
(847) 491-5599
Mailing address
1501 CENTRAL ST, EVANSTON, IL 60208-0840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003142
IL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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