Individual
KIT LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, ( 1211 ROOSEVELT RD., MAYWOOD, IL. 60153), MAYWOOD, IL 60153
(708) 531-5200
(708) 531-5201
Mailing address
2160 S FIRST AVE, ( 1211 ROOSEVELT RD., MAYWOOD, IL. 60153), MAYWOOD, IL 60153
(708) 531-5200
(708) 531-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36088066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36088066
—
IL
Enumeration date
01/19/2006
Last updated
04/19/2021
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