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1538935507
RONALD JORDAN LEE
GURNEE, IL
NPI
1538935507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209028439)
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
RONALD JORDAN LEE
310 S GREENLEAF ST STE 212
GURNEE, IL 60031-5708
Phone number: 847-360-1000
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Mailing Address
RONALD JORDAN LEE
609 HARRIS DR
BUFFALO GROVE, IL 60089-1672
Phone number: 224-419-2625
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