Lee, Malcolm Mandela
Lee, Malcolm Mandela is an sole proprietor health care provider with primary practice located at 344 Victory Dr , Park Forest IL 60466-2003. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Lee, Malcolm Mandela can be contacted via phone (708) 490-3340.Contact Information
Primary practice address
344 Victory Dr
Park Forest IL 60466-2003
Phone: (708) 490-3340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Research Study | 1744R1102X | Illinois |
Profile Details
| NPI number | 1659805521 |
|---|---|
| LBN Legal business name | Lee, Malcolm Mandela |
| Credentials | MD, CLS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2017 |
| Last updated | Mar 4th, 2024 - about 8 months 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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