Park, Grace Lee

Park, Grace Lee is an individual health care provider with primary practice located at 1109 S. Lincoln Ave. Mckinley Health Center, Urbana IL 61801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Park, Grace Lee can be contacted via phone (217) 333-2711.

Contact Information

Primary practice address
1109 S. Lincoln Ave. Mckinley Health Center Urbana IL 61801
Phone: (217) 333-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036119920 Illinois

Profile Details

NPI number 1619147592
LBN Legal business name Park, Grace Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Oct 10th, 2017 - 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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