person
Otto K Lee, MD
Family Medicine Physician in Bridgeview, Illinois
NPI 1013108422

Otto K Lee is a Family Medicine Physician based in Bridgeview, IL. Otto K Lee practices in Bridgeview, IL and has the professional credentials of MD. The NPI Number for Otto K Lee is 1013108422 and holds a License No. 036117514 (Illinois).

The current practice location address for Otto K Lee is 7020 W 79Th St, Bridgeview, IL and can be reached out via phone at 708-599-8200 and via fax at 708-599-8306.

Location: 7020 W 79Th St, Bridgeview, IL, 60455-4030
person
Provider Profile Details
NPI Number
1013108422
Provider Name
Otto K Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7020 W 79Th St, Bridgeview, IL, 60455-4030
Phone Number
708-599-8200
Fax Number
708-599-8306
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0222075 01 IL BLUE CROSS GROUP NUMBER
363149833 01 IL TAX IDENTIFICATION NUMBER
3631498336019001 01 IL CDPG HFS PAYEE ID
482450 01 IL MEDICARE GROUP NUMBER
036117514 05 IL
P00425248 01 IL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
7020 W 79Th St
City
State
Zip
60455-4030
Phone Number
708-599-8200
Fax Number
708-599-8306
person
Provider Business Mailing Address Details
Address
7020 W 79Th St
City
State
Zip
60455-4030
Phone Number
708-599-8200
Fax Number
708-599-8306
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
036117514 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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