Search › Illinois › 1223G0001X
Kenneth Lee
NPI 1255064614 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3210 W 63rd St
Chicago, IL 60629 - Phone
- (773) 776-8300
- Organisation at this address
- The Dental Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 3057 W Cermak Rd, Chicago, IL
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-24
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