Individual
DR. ISSAC LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N MAIN ST, TUSCOLA, IL 61953-1406
(217) 253-9258
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1326
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120106
IL
Other
Enumeration date
06/05/2007
Last updated
01/06/2022
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