Lee, Jaclyn Young

Lee, Jaclyn Young is an individual health care provider with primary practice located at 2063 State Route 38R , St. Charles IL 60174. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lee, Jaclyn Young can be contacted via phone (630) 584-2038.

Contact Information

Primary practice address
2063 State Route 38R St. Charles IL 60174
Phone: (630) 584-2038
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1992826135
LBN Legal business name Lee, Jaclyn Young
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992826135 NPPES
Illinois MEDICAID 363168270104

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