Lee, Michael Jae

Lee, Michael Jae is an individual health care provider with primary practice located at 676 N Saint Clair St Suite 2010, Chicago IL 60611-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Lee, Michael Jae can be contacted via phone (312) 926-5800.

Contact Information

Primary practice address
676 N Saint Clair St Suite 2010 Chicago IL 60611-2922
Phone: (312) 926-5800
Fax: (312) 926-6190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036102034 Illinois

Profile Details

NPI number 1265429302
LBN Legal business name Lee, Michael Jae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 22nd, 2013 - 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 1265429302 NPPES
Illinois Other K47967 MEDICARE PTAN

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