Lee, Kew-Jung

Lee, Kew-Jung is an individual health care provider with primary practice located at 830 W Diversey Pkwy , Chicago IL 60614-1454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee, Kew-Jung can be contacted via phone (773) 281-3563.

Contact Information

Primary practice address
830 W Diversey Pkwy Chicago IL 60614-1454
Phone: (773) 281-3563
Fax: (773) 880-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-091450 Illinois

Profile Details

NPI number 1669463618
LBN Legal business name Lee, Kew-Jung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 5th, 2014 - about 12 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 1669463618 NPPES
Illinois MEDICAID 036091450

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