Lee, Douglas A

Lee, Douglas A is an individual health care provider with primary practice located at 9921 Southwest Hwy , Oak Lawn IL 60453-3767. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lee, Douglas A can be contacted via phone (708) 499-5678.

Contact Information

Primary practice address
9921 Southwest Hwy Oak Lawn IL 60453-3767
Phone: (708) 499-5678
Fax: (708) 499-5685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-087086 Illinois

Profile Details

NPI number 1144229949
LBN Legal business name Lee, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jan 27th, 2009 - about 15 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 1144229949 NPPES
Illinois Other 100012000 MEDICARE, RRM
Illinois Other 1622260 MEDICARE, RRM

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