Dr Joseph Bokum Lee, MD, MAT, MAPP | |
1101 Glendale Blvd Ste 101, Valparaiso, IN 46383-3769 | |
(219) 462-0555 | |
Not Available |
Full Name | Dr Joseph Bokum Lee |
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Gender | Male |
Speciality | Pediatrics |
Location | 1101 Glendale Blvd Ste 101, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235510694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125067175 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
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Dr Joseph Bokum Lee, MD, MAT, MAPP 1101 Glendale Blvd Ste 101, Valparaiso, IN 46383-3769 Ph: (219) 462-0555 | Dr Joseph Bokum Lee, MD, MAT, MAPP 1101 Glendale Blvd Ste 101, Valparaiso, IN 46383-3769 Ph: (219) 462-0555 |
Ms. Susan L Bishop, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Glendale Blvd, Ste 101, Valparaiso, IN 46383 Phone: 219-462-0555 Fax: 219-548-3681 | |
Dr. David James Dimitroff Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1610 Calumet Ave Ste B, Valparaiso, IN 46383 Phone: 219-462-4655 Fax: 219-462-2491 | |
Mrs. Dianna W Brogan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Glendale Blvd, Ste 101, Valparaiso, IN 46383 Phone: 219-462-0555 Fax: 219-548-3681 | |
Dr. Elizabeth Kristine Campbell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 Glendale Blvd, Ste. 101, Valparaiso, IN 46383 Phone: 219-462-0555 | |
Ruolan Lori Pi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2421 Laporte Ave, Valparaiso, IN 46383 Phone: 219-462-6192 Fax: 219-464-2585 | |
Mr. Pablo A Bukata, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Glendale Blvd, Ste 101, Valparaiso, IN 46383 Phone: 219-462-0555 Fax: 219-548-3681 |