Individual
JENNY K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 W BELMONT AVE STE 200, CHICAGO, IL 60657-5785
(312) 926-3627
Mailing address
1333 W BELMONT AVE STE 200, CHICAGO, IL 60657-5785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-093477
IL
207R00000X
Internal Medicine Physician
036.093477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-093477
—
IL
Enumeration date
06/15/2006
Last updated
08/04/2015
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