Individual
HEATHER MARIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
250 E SUPERIOR ST STE 5-2322, CHICAGO, IL 60611-2914
(312) 926-3411
(312) 926-8430
Mailing address
250 E SUPERIOR ST STE 5-2322, CHICAGO, IL 60611-2914
(312) 926-3411
(312) 926-8430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025839
IL
363LF0000X
Family Nurse Practitioner
209025839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209025839
APRN LICENSE
IL
Enumeration date
09/06/2022
Last updated
02/13/2023
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