Individual
JEFFREY B LEE HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 13TH ST, SUITE I, PEKIN, IL 61554-4936
(309) 346-1102
(309) 347-2885
Mailing address
600 S 13TH ST, SUITE I, PEKIN, IL 61554-4936
(309) 346-1102
(309) 347-2885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09015685
BLUE CROSS BLUE SHIELD
IL
01
—
P00062942
RAIL ROAD MEDICARE PIN
IL
Enumeration date
05/17/2006
Last updated
03/24/2008
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