Otto K Lee is a Family Medicine in Bridgeview, Illinois. Otto K Lee practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Otto K Lee is 1013108422. The last update date is 2011-06-23.
Otto K Lee's current location address is 7020 W 79th St, Bridgeview, Illinois. You can contact this provider via phone number 7085998200 and fax number 7085998306. The mailing address for Otto K Lee is 7020 W 79th St, Bridgeview, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Otto K Lee |
---|---|
Address | 7020 W 79th St, Bridgeview, Illinois |
Phone Number | 7085998200 |
Fax Number | 7085998306 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1013108422 |
---|---|
Provider Enumeration Date | 2007-08-09 |
Last Updated Date | 2011-06-23 |
Provider Mailing Address Detail
Address | 7020 W 79th St |
---|---|
City | Bridgeview |
State | Illinois (IL) |
Post Code | 604554030 |
Phone Number | 7085998200 |
Fax Number | 7085998306 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 36117514 |
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 i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
222075 | IL | BLUE CROSS GROUP NUMBER | |
363149833 | IL | TAX IDENTIFICATION NUMBER | |
363149833601900 | IL | CDPG HFS PAYEE ID | |
482450 | IL | MEDICARE GROUP NUMBER | |
36117514 | IL | -- | |
P00425248 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Otto K Lee by the Centers for Medicare & Medicaid Services?
The Otto K Lee has been assigned the NPI (National Provider Identifier) 1013108422 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Otto K Lee is located?
The Otto K Lee is situated at the following address: 7020 W 79Th St, Bridgeview, IL, 604554030.
What is Otto K Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Otto K Lee is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013108422 to Otto K Lee?
The Centers for Medicare & Medicaid Services assigned the 1013108422 to Otto K Lee on 2007-08-09.
As of what date were the details related to Otto K Lee most recently updated or revised?
The information pertaining to Otto K Lee, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-23.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA