Individual
JIN AH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 S HIGHLAND AVE APT 320, LOMBARD, IL 60148-5399
(562) 410-7953
Mailing address
324 ROOSEVELT RD, GLEN ELLYN, IL 60137-5647
(562) 410-7953
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051304675
IL
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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