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.
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 |
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