Hyun Su Lee
Physical Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1174072995
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1174072995
- Entity type
- Individual (NPI-1)
- Name
- Hyun Su Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 070022556 | IL | Yes |
Practice location
345 E Superior StChicago, IL 60611-2654
Phone 312-238-1000
Mailing address
625 W Madison St Apt 3204Chicago, IL 60661-2423
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