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1417012246
RAPHAEL LEE
CHICAGO, IL
NPI
1417012246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: IL 036053577)
Enumeration Date
2006-12-22
Last Update Date
2022-05-19
Business Address
RAPHAEL LEE
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
RAPHAEL LEE
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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