Organization
SOUTH SHORE RADIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUK S LEE M.D. (PRESIDENT)
(219) 322-7042
Entity
Organization
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 768-0810
Mailing address
PO BOX 701, LANSING, IL 60438-0701
(219) 322-7042
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036048224
IL
Other
Enumeration date
09/04/2008
Last updated
09/08/2008
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