Lee, Bryan K

Lee, Bryan K is an individual health care provider with primary practice located at One Ingalls Drive West 536, Harvey IL 60426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lee, Bryan K can be contacted via phone (708) 915-6870.

Contact Information

Primary practice address
One Ingalls Drive West 536 Harvey IL 60426
Phone: (708) 915-6870
Fax: (708) 333-9105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036079191 Illinois

Profile Details

NPI number 1982628475
LBN Legal business name Lee, Bryan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982628475 NPPES
Illinois MEDICAID 36079191

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