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Individual

DR. LEE R CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
3300 127TH ST, 2ND FLOOR, BLUE ISLAND, IL 60406-3802
(708) 388-0423
(708) 388-1477

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036068104
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01615363
BC GROUP PIN
IL
05
036068104
IL
Enumeration date
01/06/2006
Last updated
06/11/2010
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