Most Relevant Information
Provider Data
| NPI Number: | 1003452368 |
| Provider Name: | JENNIFER LEE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070.024938 |
Most Important Dates
| Enumeration Date: | 11/21/2019 |
| Last Updated: | 11/19/2020 |
Provider Practice Location
1330 SHERMER RD
NORTHBROOK
IL
600624539
Practice Location Phone/Fax
| Phone: | 8474801280 |
| Fax: |
Provider Mailing Location
830 JUDSON AVE APT 3N
EVANSTON
IL
602022464
Provider Mailing Phone/Fax
| Phone: | 4193437722 |
| Fax: |