Individual
KATHLEEN PATRICIA LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7531 S STONY ISLAND AVE SUITE 155, CHICAGO, IL 60649-3913
(773) 363-0188
Mailing address
6617 ALEXANDER AVE, HAMMOND, IN 46323-1515
(219) 845-7532
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
23001570A
IN
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0167096524
BCBS
IL
Enumeration date
12/13/2005
Last updated
07/08/2007
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