Healthcare Provider Details

I. General information

NPI: 1629308358
Provider Name (Legal Business Name): JOHN HOCHUNG LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2009
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10370 HALIGUS RD STE 201
HUNTLEY IL
60142-9582
US

IV. Provider business mailing address

10370 HALIGUS RD STE 201
HUNTLEY IL
60142-9582
US

V. Phone/Fax

Practice location:
  • Phone: 815-455-2752
  • Fax: 815-455-2789
Mailing address:
  • Phone: 815-455-2752
  • Fax: 815-455-2789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036176490
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA101809
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: