Individual
TAYA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 WINDSOR ST, PARK FOREST, IL 60466-1517
(312) 823-8052
Mailing address
305 WINDSOR ST, PARK FOREST, IL 60466-1517
(312) 823-8052
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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