Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XL0004X | Low Vision | 056008742 | IL |
NPI | 1275868549 |
---|---|
Provider Name | Yu-Hsuan Lee |
First Address | Chicago, IL 60608-1200 |
Second Address | Chicago, IL 60608-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 17/06/2011 |