Lee, Michael

Lee, Michael is an individual health care provider with primary practice located at 8850 N Milwaukee Ave , Niles IL 60714-1735. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lee, Michael can be contacted via phone (847) 699-1500.

Contact Information

Primary practice address
8850 N Milwaukee Ave Niles IL 60714-1735
Phone: (847) 699-1500
Fax: (847) 699-1515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051033133 Illinois

Profile Details

NPI number 1770684953
LBN Legal business name Lee, Michael
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 19th, 2011 - about 13 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 1770684953 NPPES
Illinois MEDICAID 36371239001

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