MEDICARE: DR. ISSAC LEE 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	207Q00000X	Family Medicine Physician	036120106	IL

General Provider Information

NPI Number	:	1528260908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISSAC LEE M.D.

Provider Business Mailing Address
First Line	:	101 W UNIVERSITY AVE
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61820-3909
Country	:	US
Telephone Number	:	217-366-1326
Fax Number	:	217-366-6106

Provider Business Practice Location Address
First Line	:	300 N MAIN ST
Second Line	:
City	:	TUSCOLA
State	:	IL
Zip	:	61953-1406
Country	:	US
Telephone Number	:	217-253-9258
Fax Number	:	217-366-6106

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

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	01/06/2022

Similar Medicare Providers

1801486550 — CHRISTIE CLINIC, PLLC
Practice Location Address:

300 N MAIN ST
TUSCOLA, IL
61953-1406

Practice Phone: 217-253-9258
Practice Fax:

1225089626 — DR. NATHAN L ROBERTS MD
Practice Location Address:

300 N MAIN ST
TUSCOLA, IL
61953-1406

Practice Phone: 217-253-9258
Practice Fax: 217-253-9318

1326008137 — JAMISON T BOYD O.D.
Practice Location Address:

902 S COURT ST , SUITE #1
TUSCOLA, IL
61953

Practice Phone: 217-235-2220
Practice Fax: 217-253-2292

1316976558 — SHOPKO STORES OPERATING CO LLC
Practice Location Address:

700 PROGRESS BLVD
TUSCOLA, IL
61953-2070

Practice Phone: 217-253-5123
Practice Fax: 217-253-5124

1093726598 — JAC STORES INC
Practice Location Address:

104 E SOUTHLINE RD , ROUTE 36 UNIT A
TUSCOLA, IL
61953-2075

Practice Phone: 217-253-2309
Practice Fax: 217-253-5073

1477662336 — TUSCOLA COMM UNIT SCHOOL DIST 301
Practice Location Address:

409 S PRAIRIE ST
TUSCOLA, IL
61953-1770

Practice Phone: 217-253-4241
Practice Fax: 217-253-4522

Directions to “ DR. ISSAC LEE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.