Individual
DOUGLAS A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
(708) 499-5685
Mailing address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
(708) 499-5685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-087086
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100012000
MEDICARE, RRM
IL
01
—
1622260
BCBS IL
IL
Enumeration date
07/14/2005
Last updated
01/27/2009
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