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NPI Code Detail

MEDICARE: MICHELE DENISE LEE MD

MEDICARE: MICHELE DENISE LEE MD
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
1207L00000XAnesthesiology Physician036.122594IL
2207L00000XAnesthesiology Physician01066409AIN
3207L00000XAnesthesiology PhysicianMD60002110WA

General Provider Information

NPI Number : 1386727444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE DENISE LEE MD
Provider Business Mailing Address
First Line : 1770 1ST ST
Second Line : SUITE 703
City : HIGHLAND PARK
State : IL
Zip : 60035-3200
Country : US
Telephone Number : 847-433-1539
Fax Number :
Provider Business Practice Location Address
First Line : 9797 MASSACHUSETTS ST
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-0278
Country : US
Telephone Number : 219-649-2704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 06/05/2025

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