Stephen Lee (NPI# 1104868165, PAC ID# 8224039334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104868165 |
| PAC ID by PECOS | 8224039334 |
| Professional Enrollment ID | I20070116000285 |
| Full Name | Stephen Lee |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
365 E N Ave Northlake IL 60164-2628 |
| Phone Number | 7083458100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140304 | ADVENTIST BOLINGBROOK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Remington Blvd, Bolingbrook, IL 60440-4906 | 6303125000 | ADVANCE INPATIENT MEDICINE LLC |
| 2544 W Montrose Ave, Chicago, IL 60618-1537 | 7732672622 | KND DEVELOPMENT 59 LLC |
| 365 E N Ave, Northlake, IL 60164-2628 | 7083458100 | KND DEVELOPMENT 59 LLC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
365 E N AVE |
| City | NORTHLAKE |
| State | IL |
| Zip | 60164-2628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Switzer | Internal Medicine | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Numairuddin Mohammed | Anesthesiology | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| M Maher Najjar | Pulmonary Disease | Najjar Medical Ltd | 365 E N Ave, Northlake, IL 60164-2628 |
| Krishnamurthy Gururajan | Psychiatry | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Ewa B Poltorak | Anesthesiology | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Joseph K Rosman | Pulmonary Disease | Knd Development 59 LLC | 365 E N Ave, Northlake, IL 60164-2628 |
| Deepak Leekha | Internal Medicine | 365 E N Ave, Northlake, IL 60164-2628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary M Mccray | Geriatric Medicine | 480 N Wolf Rd, Northlake, IL 60164-1650 | |
| Sharon J Depowski | Clinical Social Worker | 311 E Dickens Ave, Northlake, IL 60164-1811 | |
| Vishal K Patel | Optometry | 137 W N Ave, Northlake, IL 60164-2316 | |
| Diane G Forecki | Optometry | Dr Forecki and Associates, Ltd | 137 W N Ave, Northlake, IL 60164-2316 |
| Ning-ju Juang | Optometry | Dr Forecki and Associates, Ltd | 137 W N Ave, Northlake, IL 60164-2316 |
| John R Haebich | Internal Medicine | 401 W Lake St, Wellness Center, Northlake, IL 60164-2435 | |
| Lidia M Andruszyn | Nurse Practitioner | Prime Care Ltc Consulting, Inc. | 401 W Lake St, Wellness Center, Northlake, IL 60164-2435 |
| Garrett A Klein | Chiropractic | 157 E N Ave, Northlake, IL 60164-2523 |
| City | NORTHLAKE |
| Zip Code | 60164 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTHLAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephen Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.