Lee, John

Lee, John is an individual health care provider with primary practice located at 2160 S First Ave (Ems Bldg., Rm. 2209), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuropathology, which is considered as his primary health care specialty. Lee, John can be contacted via phone (708) 216-3250.

Contact Information

Primary practice address
2160 S First Ave (Ems Bldg., Rm. 2209) Maywood IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 36084225 Illinois

Profile Details

NPI number 1326028911
LBN Legal business name Lee, John
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 14th, 2009 - about 16 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 1326028911 NPPES
Illinois MEDICAID 36084225

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