Individual
DANIEL ZOOSUB LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE RM 4807, CHICAGO, IL 60657-5147
(773) 296-5347
Mailing address
836 W WELLINGTON AVE RM 4807, CHICAGO, IL 60657-5147
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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