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Individual

CHRISTINE J LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
676 N SAINT CLAIR ST, 1500, CHICAGO, IL 60611-2927
(312) 475-1000
Mailing address
2013 MILWAUKEE AVE, RIVERWOODS, IL 60015-3581
(224) 676-1022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
346003151
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046.010329
IL
Enumeration date
01/03/2011
Last updated
10/04/2021
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