| Richard H. Lee M.d., S.c. | |
|
5747 W. Dempster St Suite A Morton Grove IL 60053-3061 | |
| (847) 583-9999 | |
| (847) 583-0036 |
| Full Name | Richard H. Lee M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 5747 W. Dempster St, Morton Grove, Illinois |
| Authorized Official Name and Position | Richard H. Lee (PRESIDENT) |
| Authorized Official Contact | 8475839999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H. Lee M.d., S.c. 5747 W. Dempster St. Suite A Morton Grove IL 60053-3061 Ph: (847) 583-9999 | Richard H. Lee M.d., S.c. 5747 W. Dempster St Suite A Morton Grove IL 60053-3061 Ph: (847) 583-9999 |
| NPI Number | 1609022516 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609022516 | NPI | - | NPPES |
| 036085619 | Medicaid | IL | |
| 31604646 | Other | B/C |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036085019 (Illinois) | Primary |
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