John C. Lee, M.D., S.C.

LBN: John C. Lee, M.D., S.C.
John C. Lee, M.D., S.C. is an health care organization with primary practice located at 1714 S Blaine Ln , Decatur IL 62521-5025. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. John C. Lee, M.D., S.C. can be contacted via phone (217) 423-9000, or through Lee, John C via phone (217) 423-9000.

Contact Information

Primary practice address
1714 S Blaine Ln Decatur IL 62521-5025
Fax: (217) 423-9002
Website:
Authorized official contact:
Name: Lee, John C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036052344 Illinois

Profile Details

NPI number 1780848978
LBN Legal business name John C. Lee, M.D., S.C.
DBA Doing business as
Authorized official Lee, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2008
Last updated Jul 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780848978 NPPES
Illinois Other 0005800230 BCBS
Illinois MEDICAID 036052344 BCBS

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