Lee, Ha Jeong

Lee, Ha Jeong is an individual health care provider with primary practice located at 800 Biesterfield Road Suite 605, Elk Grove Village IL 60007-3397. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Lee, Ha Jeong can be contacted via phone (847) 364-6724.

Contact Information

Primary practice address
800 Biesterfield Road Suite 605 Elk Grove Village IL 60007-3397
Phone: (847) 364-6724
Fax: (847) 364-6720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036112455 Illinois

Profile Details

NPI number 1881624377
LBN Legal business name Lee, Ha Jeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881624377 NPPES
Illinois MEDICAID 036112455

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