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Grace Lee, MD
Obstetrics & Gynecology Physician in Urbana, Illinois
NPI 1053058073

Grace Lee is a Obstetrics & Gynecology Physician based in Redlands, IL. Grace Lee practices in Urbana, IL and has the professional credentials of MD. The NPI Number for Grace Lee is 1053058073 and holds a License No. (Illinois).

The current practice location address for Grace Lee is 611 W Park St, Urbana, IL and can be reached out via phone at 615-290-6597. You can also correspond with Grace Lee through the mailing address at 1630 CAMELLIA LN, REDLANDS, CA - 92374-1410 (mailing address contact number: 615-290-6597).

Location: 611 W Park St, Urbana, IL, 92374-1410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053058073
Provider Name
Grace Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
611 W Park St, Urbana, IL, 92374-1410
Phone Number
615-290-6597
Fax Number
Provider Enumeration Date
05/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
615-290-6597
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
615-290-6597
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
125.083042 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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