Individual
DR. JI HEON PAUL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
5721 S MARYLAND AVE, CHICAGO, IL 60637-1425
(773) 702-1000
Mailing address
549 W ALDINE AVE APT 8, CHICAGO, IL 60657-3718
(917) 750-9499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.057756
IL
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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