Individual
DR. LEE J. CRISANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2959 S WALLACE ST, CHICAGO, IL 60616-3034
(312) 791-0920
(312) 842-5338
Mailing address
2959 S WALLACE ST, CHICAGO, IL 60616-3034
(312) 791-0920
(312) 842-5338
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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