Individual
LEE ROTEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N PAULINA ST, CHICAGO, IL 60622-2138
(773) 383-3221
Mailing address
1500 N PAULINA ST, CHICAGO, IL 60622-2138
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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