Individual
DENNIS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 N REGENCY DR, BLOOMINGTON, IL 61701-3515
(309) 662-4411
Mailing address
15 STONEY CT, BLOOMINGTON, IL 61704-2743
(309) 662-5066
(309) 662-5066
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
IL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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