Provider Demographics
NPI:1770819500
Name:LEE, SALVIA (AUD)
Entity Type:Individual
Prefix:DR
First Name:SALVIA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 W 75TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9336
Mailing Address - Country:US
Mailing Address - Phone:630-761-5531
Mailing Address - Fax:630-303-9346
Practice Address - Street 1:1331 W 75TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9336
Practice Address - Country:US
Practice Address - Phone:630-761-5531
Practice Address - Fax:630-303-9346
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001556231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist