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Search › Illinois › 363AS0400X

Lee De Dore, PA

NPI 1790017085 · on the registry since 2010

Practice

Address
25 N Winfield Road
Suite 505
Winfield, IL 60190
Phone
(630) 682-5653
Fax
(630) 682-8946
Organisation at this address
Walgreen Co
Masue Li Md Sc
Cadence Health
Comfortlink, Inc
Neuromed Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
591

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois