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Individual

ERIC LINDEN LEE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19552 S HARLEM AVE, BUILDING D, FRANKFORT, IL 60423-6733
(815) 469-3452
Mailing address
19552 S HARLEM AVE, BUILDING D, FRANKFORT, IL 60423-6733
(815) 469-3452

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036115870
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036115870
IL
Enumeration date
06/15/2006
Last updated
04/06/2016
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