Organization
JEAN LEE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LEE M.D. (OWNER)
(312) 842-8210
Entity
Organization
Contact information
Practice address
2506 N CLARK ST # 282, CHICAGO, IL 60614-1848
(312) 842-8210
Mailing address
2600 S MICHIGAN AVE # 403, CHICAGO, IL 60616-2857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-099238
IL
Other
Enumeration date
01/22/2010
Last updated
07/16/2010
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