Provider Demographics
NPI:1619452661
Name:LEE, CURIE H (DNP, AGPCNP-BC, BSN)
Entity Type:Individual
Prefix:
First Name:CURIE
Middle Name:H
Last Name:LEE
Suffix:
Gender:F
Credentials:DNP, AGPCNP-BC, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 W TOUHY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1100
Mailing Address - Country:US
Mailing Address - Phone:847-462-4411
Mailing Address - Fax:846-673-5636
Practice Address - Street 1:6201 W TOUHY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1100
Practice Address - Country:US
Practice Address - Phone:847-462-4411
Practice Address - Fax:846-673-5636
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041262891363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology