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LEE DE DORE, PA

PA

Surgical Physician Assistant

NPI: 1790017085IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

085003692(IL)

CMS Specialties

Education

OTHER

Class of 2009

Contact & Hours

Address
25 N WINFIELD ROAD
WINFIELD, IL 60190

Quick Facts

NPI
1790017085
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
17

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