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Contact Information

ELBERT C LEE, MD
1005 HEALTH CENTER DRIVE
SUITE 102
MATTOON, IL61938
 Phone: 217-258-4042
 Fax: 217-258-4053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ELBERT C LEE · (Male)

NPI # 1740243989
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 06/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036096877
  • IL Medicaid 036096877
  • IL Other CH4443 RR GROUP NUMBER
  • IL Other 260045697 RRR MEDICARE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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