Individual
RACHEL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
(309) 655-2343
(309) 655-3948
Mailing address
420 NE GLEN OAK AVE STE 201, PEORIA, IL 61603-3112
(309) 655-2343
(309) 655-3948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010576
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/17/2024
Last updated
10/18/2024
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