Individual
YAE RIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
805 N BROAD ST, CARLINVILLE, IL 62626-1075
(217) 854-3223
Mailing address
805 N BROAD ST, CARLINVILLE, IL 62626-1075
(217) 854-3223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036137927
IL
2084P0800X
Psychiatry Physician
125059608
IL
Other
Enumeration date
07/25/2011
Last updated
09/28/2015
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