Individual
FELICIA A. J. JORDAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 SHERRY LN, CHICAGO HEIGHTS, IL 60411-1079
(708) 996-3329
Mailing address
328 SHERRY LN, CHICAGO HEIGHTS, IL 60411-1079
(708) 996-3329
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
J63525077824
IL
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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