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Individual

DR. JOHN K. LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1220 HOBSON RD, 204, NAPERVILLE, IL 60540-8139
(630) 416-7766
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-110235
IL
207R00000X
Internal Medicine Physician
Primary
036-110235
IL
208000000X
Pediatrics Physician
036-110235
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036110235
IL
01
P00233362
RAILROAD MEDICARE
Enumeration date
08/01/2006
Last updated
01/25/2011
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