Individual
JUSTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-5420
(331) 221-3701
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036.174381
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036.174381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659990638
—
WI
Enumeration date
04/10/2020
Last updated
05/07/2026
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