Individual
JOHN JUNHAENG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
Mailing address
PO BOX 196398, SPRINGFIELD, IL 62794
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.1481119
IL
208M00000X
Hospitalist Physician
0101252536
VA
208M00000X
Hospitalist Physician
01073611
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000868530
BCBS
IN
05
—
201223200
—
IN
Enumeration date
05/21/2009
Last updated
01/26/2024
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