Lee, Jessica Genevieve
Lee, Jessica Genevieve is an individual health care provider with primary practice located at 2850 W 95Th St Ste 400 , Evergreen Park IL 60805-2755. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lee, Jessica Genevieve can be contacted via phone (708) 424-7600.Contact Information
Primary practice address
2850 W 95Th St Ste 400
Evergreen Park IL 60805-2755
Phone: (708) 424-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.071712 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036155602 | Illinois |
Profile Details
| NPI number | 1649774142 |
|---|---|
| LBN Legal business name | Lee, Jessica Genevieve |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Oct 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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