Individual
DIANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4100 N CICERO AVE, CHICAGO, IL 60641-1808
(773) 427-9378
Mailing address
280 OAKBROOK CTR, OAK BROOK, IL 60523-1841
(630) 368-1634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010120
IL
152W00000X
Optometrist
14656
CA
Other
Enumeration date
07/16/2008
Last updated
02/23/2022
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