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Individual

EUGENE W LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-7509
(847) 381-9600
Mailing address
32 OLYMPIC DR, SOUTH BARRINGTON, IL 60010-1093
(312) 493-7011

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036108720
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108720
IL
01
04932308
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/15/2005
Last updated
12/20/2021
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