LEE MICHAEL DE DORE

WINFIELD, IL
NPI1790017085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085003692)
Enumeration Date2010-02-11
Last Update Date2017-06-16
Business Address
-- LEE MICHAEL DE DORE PA
25 N WINFIELD ROAD SUITE 505
WINFIELD, IL 60190
Phone number: 630-682-5653
Mailing Address
-- LEE MICHAEL DE DORE PA
1 WESTBROOK CORPORATE CTR STE 240
WESTCHESTER, IL 60154-5745
Phone number: 630-682-5653
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