Individual
DR. CHULJOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4905 OLD ORCHARD CTR, STE426, SKOKIE, IL 60077-1458
(847) 675-0882
(847) 675-0882
Mailing address
4905 OLD ORCHARD CTR, STE426, SKOKIE, IL 60077-1458
(847) 675-0882
(847) 675-0882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019016567
STATE OF ILLINOIS LICENSED DENTIST
IL
Enumeration date
02/12/2010
Last updated
02/12/2010
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