MEDICARE: DIABETES & ENDOCRINOLOGY GROUP, S.C.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1518406388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIABETES & ENDOCRINOLOGY GROUP, S.C.

Provider Business Mailing Address
First Line	:	201 E OGDEN AVE STE 26
Second Line	:
City	:	HINSDALE
State	:	IL
Zip	:	60521-3651
Country	:	US
Telephone Number	:	630-323-2455
Fax Number	:	630-323-2422

Provider Business Practice Location Address
First Line	:	201 E OGDEN AVE
Second Line	:	SUITE 26
City	:	HINSDALE
State	:	IL
Zip	:	60521-3633
Country	:	US
Telephone Number	:	612-868-6999
Fax Number	:	708-310-4381

Authorized Official
Title or Position	:	OWNER
Name	:	HONG SHING LEE
Credential	:
Telephone Number	:	612-868-6999

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	02/06/2026

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