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Kenneth K Lee, MD
Family Medicine Physician in Glen Ellyn, Illinois
NPI 1043245970

Kenneth K Lee is a Family Medicine Physician based in Glen Ellyn, IL. Kenneth K Lee practices in Glen Ellyn, IL and has the professional credentials of MD. The NPI Number for Kenneth K Lee is 1043245970 and holds a License No. 036100509 (Illinois).

The current practice location address for Kenneth K Lee is 885 Roosevelt Rd, Glen Ellyn, IL and can be reached out via phone at 630-545-3760 and via fax at 630-545-3769.

Location: 885 Roosevelt Rd, Glen Ellyn, IL, 60137-6141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043245970
Provider Name
Kenneth K Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
885 Roosevelt Rd, Glen Ellyn, IL, 60137-6141
Phone Number
630-545-3760
Fax Number
630-545-3769
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0222075 01 IL BLUE CROSS GROUP NUMBER
3631498336019001 01 IL CDPG HFS PAYEE ID
363149833 01 IL TAX IDENTIFICATION NUMBER
036100509 05 IL
institution
Provider Business Practice Location Address Details
Address
885 Roosevelt Rd
City
Glen Ellyn
State
Illinois
Zip
60137-6141
Phone Number
630-545-3760
Fax Number
630-545-3769
person
Provider Business Mailing Address Details
Address
885 Roosevelt Rd
City
Glen Ellyn
State
Illinois
Zip
60137-6141
Phone Number
630-545-3760
Fax Number
630-545-3769
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036100509 (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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