Individual
DR. JEANJU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3948 W 55TH ST, CHICAGO, IL 60632-3745
(773) 922-8000
Mailing address
3948 W 55TH ST, CHICAGO, IL 60632-3745
(773) 922-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035654
IL
1223G0001X
General Practice Dentistry
Primary
D.007226-C1
AL
Other
Enumeration date
07/17/2023
Last updated
04/17/2026
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