Lee, Maerry

Lee, Maerry is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Lee, Maerry can be contacted via phone (847) 570-2114.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1718
Phone: (847) 570-2114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-100508 Illinois

Profile Details

NPI number 1780731869
LBN Legal business name Lee, Maerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Nov 19th, 2016 - about 10 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 1780731869 NPPES
Other P00417662 RAILROAD MCR
MEDICAID 0361005083 RAILROAD MCR

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