Provider Demographics
NPI:1558702712
Name:LEE, ARNOLD (MS, ATC, CSCS, CES)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MS, ATC, CSCS, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 SANCTUARY LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6364
Mailing Address - Country:US
Mailing Address - Phone:630-717-6873
Mailing Address - Fax:
Practice Address - Street 1:1509 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2802
Practice Address - Country:US
Practice Address - Phone:312-431-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer