Individual
DR. JI P LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Mailing address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036098820
IL
208VP0014X
Interventional Pain Medicine Physician
036098820
IL
Other
Enumeration date
12/22/2005
Last updated
08/06/2025
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