Lee, Simon

Lee, Simon is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400, Chicago IL 60612-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Lee, Simon can be contacted via phone (312) 243-4244.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-3841
Fax: (312) 942-1517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 036102174 Illinois

Profile Details

NPI number 1922087691
LBN Legal business name Lee, Simon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Sep 18th, 2018 - about 7 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 1922087691 NPPES
Other 7737378 AETNA
Other P00063106 AETNA
Other 207073 AETNA
Other 1633878 AETNA
Other 207067 AETNA
Other DA4902 AETNA

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