Jeongwon Lee, DO

NPI #1518750546 in Kankakee, Illinois

Provider Information

NPI Number: 1518750546
Entity Type: Individual
Name: Jeongwon Lee, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: May 23, 2025
Last Updated: May 31, 2025

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (815) 933-1671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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