Hyunjung Lee, DC | |
343 E Maple Ave, Mundelein, IL 60060-1970 | |
(309) 252-0859 | |
Not Available |
Full Name | Hyunjung Lee |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 343 E Maple Ave, Mundelein, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912680265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013913 (Illinois) | Primary |
Provider Name | Revive Family Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467230722 PECOS PAC ID: 5496103103 Enrollment ID: O20231117003153 |
Mailing Address | Practice Location Address |
---|---|
Hyunjung Lee, DC 343 E Maple Ave, Mundelein, IL 60060-1970 Ph: (309) 252-0859 | Hyunjung Lee, DC 343 E Maple Ave, Mundelein, IL 60060-1970 Ph: (309) 252-0859 |
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