Provider Demographics
NPI:1598540312
Name:LEE, LEONORE N (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:LEONORE
Middle Name:N
Last Name:LEE
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 13TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1665
Mailing Address - Country:US
Mailing Address - Phone:847-863-6512
Mailing Address - Fax:
Practice Address - Street 1:925 13TH ST
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1665
Practice Address - Country:US
Practice Address - Phone:847-863-6512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach