Lee, Mellicent

Lee, Mellicent is an individual health care provider with primary practice located at 1836 E Touhy Ave , Des Plaines IL 60018-3629. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Lee, Mellicent can be contacted via phone (847) 824-1308.

Contact Information

Primary practice address
1836 E Touhy Ave Des Plaines IL 60018-3629
Phone: (847) 824-1308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1993540 Illinois

Profile Details

NPI number 1467965400
LBN Legal business name Lee, Mellicent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2017
Last updated Nov 13th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467965400 NPPES
Illinois MEDICAID 1194859975

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