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Individual

SIMON LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
(302) 252-3996
Mailing address
27650 FERRY RD, WARRENVILLE, IL 60555-3845
(630) 225-2663
(302) 252-3996

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301107561
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036156602
IL

Other

Enumeration date
06/04/2015
Last updated
11/12/2021
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