Individual
RIAH SEUNGAHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6933
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.088356
IL
Other
Enumeration date
06/11/2026
Last updated
06/17/2026
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