Individual
JOHN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 S 6TH ST, SPRINGFIELD, IL 62703-5904
(217) 588-7450
(217) 588-7483
Mailing address
2950 S. SIXTH STREET, SPRINGFIELD, IL 62703
(217) 588-7450
(217) 588-7483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.127373
IL
Other
Enumeration date
07/28/2008
Last updated
05/17/2011
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