Individual
HA JEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 BIESTERFIELD ROAD, SUITE 605, ELK GROVE VILLAGE, IL 60007-3397
(847) 364-6724
(847) 364-6720
Mailing address
800 BIESTERFIELD RD STE 605, ELK GROVE VILLAGE, IL 60007-3362
(847) 364-6724
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036112455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112455
—
IL
Enumeration date
07/03/2006
Last updated
04/09/2021
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