Provider Demographics
NPI:1396064655
Name:LEE, YING CHIEH
Entity type:Individual
Prefix:
First Name:YING CHIEH
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 S WABASH AVE
Mailing Address - Street 2:APT#1610
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2350
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 S WABASH AVE
Practice Address - Street 2:APT#1610
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2350
Practice Address - Country:US
Practice Address - Phone:312-342-1680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist