Individual
VAN K LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 N WESTERN AVE BLDG E, CHICAGO, IL 60618-3726
(773) 275-7700
(773) 279-6504
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005380
IL
Other
Enumeration date
03/05/2015
Last updated
09/02/2025
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