Kenneth K Lee, MD | |
885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 | |
(630) 545-3760 | |
(630) 545-3769 |
Full Name | Kenneth K Lee |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 885 Roosevelt Rd, Glen Ellyn, 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 |
---|---|---|---|
1043245970 | NPI | - | NPPES |
0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
036100509 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036100509 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Resilience Home Health Corporation | Aurora, IL | Home health agency |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Kenneth K Lee, MD 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 545-3760 | Kenneth K Lee, MD 885 Roosevelt Rd, Glen Ellyn, IL 60137-6141 Ph: (630) 545-3760 |
Farha Saghir, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 N Park Blvd, Glen Ellyn, IL 60137 Phone: 630-469-0045 Fax: 630-469-0645 | |
Dr. Aleksandra Orkiszewska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Roosevelt Rd Ste 100, Glen Ellyn, IL 60137 Phone: 630-384-6200 Fax: 630-384-6229 | |
Douglas R. Finlayson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 364 Pembroke Ln, Apt 4, Glen Ellyn, IL 60137 Phone: 224-392-5796 Fax: 773-360-2508 | |
Michelle Marie Hephner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Roosevelt Rd, Glen Ellyn, IL 60137 Phone: 630-545-3760 Fax: 630-545-3769 | |
Dr. Moiz Suhail, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 885 Roosevelt Rd Ste 100, Glen Ellyn, IL 60137 Phone: 630-384-6200 Fax: 630-384-6229 | |
Charles R Ireland, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 Pennsylvania Ave Ste 150, Glen Ellyn, IL 60137 Phone: 888-693-6437 Fax: 630-432-6667 |