Organization
KWANG NAM LEE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG NAM LEE (PRESIDENT)
(773) 874-6608
Entity
Organization
Contact information
Practice address
8340 CALLIE AVE, MORTON GROVE, IL 60053-3706
(773) 334-6311
Mailing address
8340 CALLIE AVE, MORTON GROVE, IL 60053-3706
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036054524
IL
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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