De Dore, Lee Michael
De Dore, Lee Michael is an individual health care provider with primary practice located at 25 N Winfield Road Suite 505, Winfield IL 60190. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. De Dore, Lee Michael can be contacted via phone (630) 682-5653.Contact Information
Primary practice address
25 N Winfield Road Suite 505
Winfield IL 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085003692 | Illinois |
Profile Details
NPI number | 1790017085 |
---|---|
LBN Legal business name | De Dore, Lee Michael |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2010 |
Last updated | Jun 16th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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