Provider Demographics
NPI:1073819835
Name:LEE, FRANCES A (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:A
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S PAULINA ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3806
Mailing Address - Country:US
Mailing Address - Phone:312-942-7013
Mailing Address - Fax:
Practice Address - Street 1:2245 W JACKSON BLVD
Practice Address - Street 2:ROOM 110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-2910
Practice Address - Country:US
Practice Address - Phone:773-534-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily