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1740923481
LIEM SI LE
CHICAGO, IL
NPI
1740923481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-20
Last Update Date
2024-06-25
Business Address
LIEM SI LE MD
711 W NORTH AVE
CHICAGO, IL 60610-1174
Phone number: 312-337-1982
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Mailing Address
LIEM SI LE MD
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 859-466-4819
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