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Organization

CRYSTAL LAKE REGENERATIVE PAIN ASSOCIATES PLLC

Active
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Organization

CRYSTAL LAKE REGENERATIVE PAIN ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD LEE MD (OWNER)
(312) 300-3882
Entity
Organization

Contact information

Practice address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3621
(312) 300-3882
Mailing address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3621
(312) 300-3882

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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