Individual provider · Type 1 NPI
Jennifer Sherese Lee
Military Health Care Provider · Addison, IL
NPI number
1730076514
Active · reactivated Aug 13, 2025
Practice location
618 S Wisconsin Ave Apt D
Addison, IL 60101-4716
Mailing address
618 S Wisconsin Ave Apt D618S
Addison, IL 60101-4716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1730076514
Jennifer Sherese Lee's National Provider Identifier is 1730076514, issued on Jun 23, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Addison, IL. The record was last updated on Aug 13, 2025.