Organization
MAO & LEE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KOERNER (OWNER)
(312) 842-8210
Entity
Organization
Contact information
Practice address
2600 SOUTH MICHIGAN AVENUE, 403, CHICAGO, IL 60616
(312) 842-8210
Mailing address
2506 NORTH CLARK STREET, 282, CHICAGO, IL 60614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036099238
IL
174400000X
Specialist
36050106
IL
Other
Enumeration date
08/25/2008
Last updated
10/14/2008
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