Individual
MOSES S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 626-4300
Mailing address
195 N HARBOR DR, #2209, CHICAGO, IL 60601-7514
(312) 864-0060
(312) 864-9656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036078482
IL
Other
Enumeration date
09/21/2006
Last updated
04/26/2021
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