Organization
JL HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KEN LEE D.O. (PRESIDENT)
(847) 381-9600
Entity
Organization
Contact information
Practice address
450 W IL ROUTE 22, BARRINGTON, IL 60010-7509
(847) 381-9600
Mailing address
8135 N MILWAUKEE AVE, NILES, IL 60714-2828
(847) 967-1149
(847) 967-8594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932448
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
06/15/2007
Last updated
02/19/2008
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