Organization
SUK S LEE M.D. INC
Active
Organization
SUK S LEE M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUK S LEE M.D. (PRESIDENT)
(219) 322-7042
Entity
Organization
Contact information
Practice address
1400 E 9TH ST, ROCHESTER, IN 46975-8931
(574) 224-1156
Mailing address
PO BOX 701, LANSING, IL 60438-0701
(219) 322-7042
(219) 322-4155
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
1030530
IN
2085N0904X
Nuclear Radiology Physician
—
IL
2085R0202X
Diagnostic Radiology Physician
01030530
IN
2085R0202X
Diagnostic Radiology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830160036
—
IL
Enumeration date
11/29/2006
Last updated
09/11/2025
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