CODY SHANE LEE

CHICAGO, IL
NPI1306467352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  125076918)
Enumeration Date2020-04-30
Last Update Date2020-06-28
Business Address
CODY SHANE LEE
5841 S MARYLAND AVE # MC3079
CHICAGO, IL 60637-1443
Phone number: 773-834-3531
Mailing Address
CODY SHANE LEE
180 HARVESTER DR. STE 100
BURR RIDGE, IL 60527-6686
Phone number:
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