Organization
DR NANCY LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LEE (OWNER)
(708) 748-3338
Entity
Organization
Contact information
Practice address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
Mailing address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627343
BCBS
IL
Enumeration date
02/29/2008
Last updated
02/29/2008
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