Chong Il Lee, DC | |
11734 15th Ave Ne, Seattle, WA 98125-5026 | |
(206) 364-9501 | |
Not Available |
Full Name | Chong Il Lee |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 9 Years |
Location | 11734 15th Ave Ne, Seattle, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922468982 | NPI | - | NPPES |
33498 | Other | CA | CHIROPRACTIC |
CH60757172 | Other | WA | CHIROPRACTIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 33498 (California) | Secondary |
111N00000X | Chiropractor | CH60757172 (Washington) | Primary |
Provider Name | Seattle Northeast Chiropractic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922563782 PECOS PAC ID: 3577805571 Enrollment ID: O20190423001101 |
Mailing Address | Practice Location Address |
---|---|
Chong Il Lee, DC 11734 15th Ave Ne, Seattle, WA 98125-5026 Ph: (206) 364-9501 | Chong Il Lee, DC 11734 15th Ave Ne, Seattle, WA 98125-5026 Ph: (206) 364-9501 |
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