| Kwang Nam Lee Md | |
|
8340 Callie Ave Morton Grove IL 60053-3706 | |
| (773) 334-6311 | |
| Not Available |
| Full Name | Kwang Nam Lee Md |
|---|---|
| Speciality | Clinic/center |
| Location | 8340 Callie Ave, Morton Grove, Illinois |
| Authorized Official Name and Position | Kwang Nam Lee (PRESIDENT) |
| Authorized Official Contact | 7738746608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kwang Nam Lee Md 8340 Callie Ave Morton Grove IL 60053-3706 Ph: () - | Kwang Nam Lee Md 8340 Callie Ave Morton Grove IL 60053-3706 Ph: (773) 334-6311 |
| NPI Number | 1689943771 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689943771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036054524 (Illinois) | Primary |
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