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Soo Mi Lee - Samuel, MD
Child & Adolescent Psychiatry Physician in Crystal Lake, Illinois
NPI 1275683211

Soo Mi Lee - Samuel is a Child & Adolescent Psychiatry Physician based in Schaumburg, IL and is specialized in Child & Adolescent Psychiatry. Soo Mi Lee - Samuel practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Soo Mi Lee - Samuel is 1275683211 and holds a License No. 036-109024 (Illinois).

The current practice location address for Soo Mi Lee - Samuel is 390 E Congress Pkwy, Crystal Lake, IL and can be reached out via phone at 815-356-5050 and via fax at 815-356-5094.

Location: 390 E Congress Pkwy, Crystal Lake, IL, 60173-5113
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Provider Profile Details
NPI Number
1275683211
Provider Name
Soo Mi Lee - Samuel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
390 E Congress Pkwy, Crystal Lake, IL, 60173-5113
Phone Number
815-356-5050
Fax Number
815-356-5094
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1633897 01 IL GROUP BCBS NUMBER
institution
Provider Business Practice Location Address Details
Address
390 E Congress Pkwy
City
State
Zip
60014-6202
Phone Number
815-356-5050
Fax Number
815-356-5094
person
Provider Business Mailing Address Details
Address
390 E Congress Pkwy
City
State
Zip
60014-6202
Phone Number
815-356-5050
Fax Number
815-356-5094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
036-109024 (Illinois)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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