SearchIllinois213E00000X

Brian Lee

NPI 1285744060 · on the registry since 2006 · sole proprietor

Practice

Address
221 N 27th Street
Mt Vernon, IL 62864
Phone
(618) 244-3668
Fax
(618) 244-0534

Registry record

Primary taxonomy
213E00000X
213E00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois