Organization
LEE ADVANCED BREAST CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARHA LEE MD (SOLE MEMBER)
(630) 536-7114
Entity
Organization
Contact information
Practice address
2631 WILLIAMSBURG AVE, SUITE 102, GENEVA, IL 60134-1107
(630) 536-7114
Mailing address
2631 WILLIAMSBURG AVE, SUITE 102, GENEVA, IL 60134-1107
(630) 536-7114
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036086120
IL
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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