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1174519797
KWANG NAM LEE
CHICAGO, IL
NPI
1174519797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036054524)
Enumeration Date
2005-09-20
Last Update Date
2007-07-09
Business Address
Dr. KWANG NAM LEE M.D.
6202 S HALSTED ST
CHICAGO, IL 60621-2029
Phone number: 773-874-6608
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Mailing Address
Dr. KWANG NAM LEE M.D.
8340 CALLIE AVE UNIT 507
MORTON GROVE, IL 60053-3706
Phone number: 847-965-8060
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