Individual
MRS. CATHERINE C LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 N SANDBURG TER, APT 1802, CHICAGO, IL 60610-8514
(312) 266-0785
Mailing address
1460 N SANDBURG TR, APT 1802, CHICAGO, IL 60610-5564
(312) 266-0785
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252Y00000X
DEPARTMENT OF HUMAN SERVICES
IL
Enumeration date
03/11/2016
Last updated
03/11/2016
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