Lee, John Ken
Lee, John Ken is an sole proprietor health care provider with primary practice located at 450 W Highway 22 , Barrington IL 60010-7509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lee, John Ken can be contacted via phone (847) 381-9600.Contact Information
Primary practice address
450 W Highway 22
Barrington IL 60010-7509
Phone: (847) 381-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036113245 | Illinois |
Profile Details
| NPI number | 1891794475 |
|---|---|
| LBN Legal business name | Lee, John Ken |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891794475 | NPPES |
| Illinois | Other | 04932448 | BLUE SHIELD OF ILLINOIS |
| Illinois | MEDICAID | 036113245 | BLUE SHIELD OF ILLINOIS |
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