Lee, Jong-Il Marcus

Lee, Jong-Il Marcus is an individual health care provider with primary practice located at 5454 Hohman Ave , Hammond IN 46320-1931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lee, Jong-Il Marcus can be contacted via phone (219) 933-2006.

Contact Information

Primary practice address
5454 Hohman Ave Hammond IN 46320-1931
Phone: (219) 933-2006
Fax: (219) 738-6714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 01031807 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01031807 Indiana

Profile Details

NPI number 1326037383
LBN Legal business name Lee, Jong-Il Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 25th, 2012 - about 12 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 1326037383 NPPES
Indiana MEDICAID 100361350

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