Individual
DR. FRANCIS CHAEPOONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 W PERSHING RD, SUITE E, DECATUR, IL 62526-1633
(217) 877-7171
(217) 877-7481
Mailing address
606 W PERSHING RD, SUITE E, DECATUR, IL 62526-1633
(217) 877-7171
(217) 877-7481
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036042486
IL
207ND0900X
Dermatopathology Physician
036042486
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036042486
IL
207NS0135X
Procedural Dermatology Physician
036042486
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042486
—
IL
01
—
5800184
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/24/2005
Last updated
01/23/2014
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