Organization
ANDREA LEE OBGYN PLLC
Active
Organization
ANDREA LEE OBGYN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LEE MD (PHYSICIAN/OWNER)
(773) 339-9114
Entity
Organization
Contact information
Practice address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(773) 339-9114
Mailing address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(773) 339-9114
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831259951
INDIVIDUAL NPI
IL
Enumeration date
02/22/2019
Last updated
02/22/2019
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