Individual
DR. JOHN JONGHWAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 WAUKEGAN RD, SUITE 930, LAKE BLUFF, IL 60044
(847) 735-9530
(847) 735-9531
Mailing address
101 WAUKEGAN RD, SUITE 930, LAKE BLUFF, IL 60044
(847) 735-9530
(847) 735-9531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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