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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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