Individual
MONIQUE L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8528 S EXCHANGE AVE # 2, CHICAGO, IL 60617-2541
(872) 777-1455
Mailing address
8528 S EXCHANGE AVE # 2, CHICAGO, IL 60617-2541
(872) 777-1455
(312) 428-9349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043088275
IL
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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