Individual
DR. HAM NYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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