Individual
DR. CARL WESLEY LEE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WOLF CREEK DR, DEPT OTOLARYNGOLOGY, SWANSEA, IL 62226-2355
(618) 235-3687
(618) 239-9492
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(618) 235-3687
(618) 239-9492
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036095348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080460
—
MO
Enumeration date
05/24/2005
Last updated
04/21/2025
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