Individual
MS. DIXIE DIANNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 CADET ROAD, MACHESNEY PARK, IL 61115-3015
(815) 633-4782
Mailing address
7505 CADET ROAD, MACHESNEY PARK, IL 61115-3015
(815) 633-4782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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