Individual
DR. HAM NYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 346-5475
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036053770
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053770
—
IL
01
—
360002166
RR MEDICARE CONSULTNTS
IL
01
—
920004024
RR MEDICARE HITECH
IL
01
—
920004029
RR MEDICARE ICRO
IL
Enumeration date
11/17/2005
Last updated
07/23/2010
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