Individual
ALEXIS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-2461
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-2461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009064
IL
363A00000X
Physician Assistant
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2020
Last updated
12/07/2022
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