Lee, Francis Chaepoong

Lee, Francis Chaepoong is an sole proprietor health care provider with primary practice located at 606 W Pershing Rd Suite E, Decatur IL 62526-1633. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lee, Francis Chaepoong can be contacted via phone (217) 877-7171.

Contact Information

Primary practice address
606 W Pershing Rd Suite E Decatur IL 62526-1633
Phone: (217) 877-7171
Fax: (217) 877-7481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036042486 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036042486 Illinois
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036042486 Illinois
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 036042486 Illinois

Profile Details

NPI number 1396735114
LBN Legal business name Lee, Francis Chaepoong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2005
Last updated Jan 23rd, 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 1396735114 NPPES
Illinois Other 5800184 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036042486 BLUE CROSS BLUE SHIELD

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