Individual
MR. ADAM RICKY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MERCYHEALTH JAVON BEA HOSPITAL, 8201 EAST RIVERSIDE BOULEVARD, ROCKFORD, IL 61114
(815) 971-5000
Mailing address
JAVON BEA HOSPITAL -ROCKTON AVENUE, 2400 NORTH ROCKTON AVENUE, ROCKFORD, IL 61103
(815) 971-5000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
07/24/2020
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