MEDICARE: RICHARD LEE HON JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	01063838A	IN
2	2083X0100X	Occupational Medicine Physician		IL

General Provider Information

NPI Number	:	1255431813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LEE HON JR. M.D.

Provider Business Mailing Address
First Line	:	1500 N RITTER AVE
Second Line	:	BUILDING 4 - FIRST FLOOR
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3027
Country	:	US
Telephone Number	:	317-355-6347
Fax Number	:	317-351-5477

Provider Business Practice Location Address
First Line	:	1709 N POST RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-1924
Country	:	US
Telephone Number	:	317-355-6347
Fax Number	:	317-351-5477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	09/12/2007

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