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General NPI Number Information
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NPI Number | 1811673783
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Entity Type | Individual
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Provider Name | JANET LEE
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1620 W HARRISON ST, CHICAGO
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-942-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 W IOWA STREET UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60622
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 4704345938
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209030928
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License Number State | IL
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