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Individual

MR. SIMON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DIPL. AC.

Contact information

Practice address
5115 N RAVENSWOOD AVE, CHICAGO, IL 60640-2712
(773) 878-9934
Mailing address
2272 S ARCHER AVE APT 3F, CHICAGO, IL 60616-5022
(312) 593-1780

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000769
IL

Other

Enumeration date
06/06/2008
Last updated
07/24/2009
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