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SOO K LEE MD SC NPI 1720204431


NPI Information

NPI: 1720204431
Provider Name: SOO K LEE MD SC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
210 N HAMMES AVE
JOLIET, IL
ZIP 60435
Phone: (815) 741-8088
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SOO K LEE MD SC is a pediatrics in Joliet, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SOO K LEE MD SC NPI is 1720204431. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 N HAMMES AVE
JOLIET, IL
ZIP 60435-680
Phone: (815) 741-8088
Fax: (815) 741-8865

The provider's authorized official is Soo K Lee .
The authorized official title is President and has the following contact phone number (815) 741-8088.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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