Lee, Richard Hyung Rock

Lee, Richard Hyung Rock is an sole proprietor health care provider with primary practice located at 5747 W Dempster St Suite A, Morton Grove IL 60053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Richard Hyung Rock can be contacted via phone (847) 583-9999.

Contact Information

Primary practice address
5747 W Dempster St Suite A Morton Grove IL 60053
Phone: (847) 583-9999
Fax: (847) 583-0036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036085619 Illinois

Profile Details

NPI number 1518925304
LBN Legal business name Lee, Richard Hyung Rock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Jun 6th, 2008 - 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 1518925304 NPPES
Illinois MEDICAID 036085619
Illinois Other 31604646

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