NPI 1013171511

Seo Ku Lee, DDS

Practitioner Dentist Glenview, IL

Practice location

Address: 1873 Waukegan Rd, Glenview, IL 60025-2158
Phone: (847) 729-2875
Fax: (847) 724-0157

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 019024667 (IL)

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Registry record

NPI: 1013171511
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2008
Record last updated: 14 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.