Lee, Chung H
Lee, Chung H is an individual health care provider with primary practice located at 2200 Fort Jesse Rd Suite 280, Normal IL 61761-6286. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lee, Chung H can be contacted via phone (309) 452-1788.Contact Information
Primary practice address
2200 Fort Jesse Rd Suite 280
Normal IL 61761-6286
Phone: (309) 452-1788
Fax: (309) 862-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36060827 | Illinois |
Profile Details
| NPI number | 1083653117 |
|---|---|
| LBN Legal business name | Lee, Chung H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083653117 | NPPES |
| Illinois | MEDICAID | 036060827*2 |
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