Individual
EUGENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789
Mailing address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036065069
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036065069
STATE LICENSE
IL
05
—
036065069
—
IL
Enumeration date
10/13/2005
Last updated
03/18/2019
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