Individual
TENNYSON WEI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 W DIANN LN, CARBONDALE, IL 62901-5339
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DR, HERRIN, IL 62948-6334
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01054777A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036147867
IL
Other
Enumeration date
06/30/2005
Last updated
02/05/2021
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