Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 036156182 | IL |
NPI | 1174904809 |
---|---|
Provider Name | Dr. Daniel Lee |
First Address | Lincolnshire, IL 60069-3839 |
Second Address | Lincolnshire, IL 60069-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 20/08/2021 |