Individual
DANIEL HOOSUP LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
77 RAND RD, DES PLAINES, IL 60016-1005
(847) 298-0310
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036158177
IL
Other
Enumeration date
03/23/2019
Last updated
09/26/2023
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