Lee, Ham Nyung

Lee, Ham Nyung is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Lee, Ham Nyung can be contacted via phone (708) 346-5475.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036053770 Illinois

Profile Details

NPI number 1316929177
LBN Legal business name Lee, Ham Nyung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 23rd, 2010 - about 16 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 1316929177 NPPES
Illinois Other 920004024 RR MEDICARE HITECH
Illinois Other 920004029 RR MEDICARE HITECH
Illinois MEDICAID 036053770 RR MEDICARE HITECH
Illinois Other 360002166 RR MEDICARE HITECH

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