Edward T Lee, MD | |
190 Waukegan Rd Ste B, Deerfield, IL 60015-5655 | |
(847) 945-4575 | |
(847) 941-7697 |
Full Name | Edward T Lee |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 190 Waukegan Rd Ste B, Deerfield, Illinois |
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 |
---|---|---|---|
1881753226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-096268 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Endeavor Health Medical Group | 2163334699 | 2710 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Edward T Lee, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206 | Edward T Lee, MD 190 Waukegan Rd Ste B, Deerfield, IL 60015-5655 Ph: (847) 945-4575 |
Robert Frank Ellis, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 770 Elysian Way, Deerfield, IL 60015 Phone: 219-671-1154 | |
Mr. Anthony Greis, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 Phone: 847-580-5700 | |
Ruth Karlin Guth, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman Ave, 205, Deerfield, IL 60015 Phone: 847-945-9470 | |
Martin B. Kass, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman Ave, Deerfield, IL 60015 Phone: 847-945-9470 |