Organization
LAKESIDE RADIOLOGISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG S LEE MD (OWNER)
(219) 322-7042
Entity
Organization
Contact information
Practice address
5025 N PAULINA ST, CHICAGO, IL 60640-2772
(773) 271-9040
(773) 271-2010
Mailing address
PO BOX 218, LANSING, IL 60438-0218
(219) 322-7042
(219) 322-4155
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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