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NPI Code Detail

MEDICARE: DR. ERIC C TEE M.D.

MEDICARE: DR. ERIC C TEE 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
12084P0800XPsychiatry Physician81298MN
22084P0800XPsychiatry PhysicianW2683TX
32084P0800XPsychiatry Physician14454ND
42084P0800XPsychiatry Physician125.063608IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13775751OTHERILCONTACT NUMBER

General Provider Information

NPI Number : 1487075404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC C TEE M.D.
Provider Business Mailing Address
First Line : 3333 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3037
Country : US
Telephone Number : 847-799-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2013
Last Update Date : 05/22/2026

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