| Daniel James Lee, MD | |
|
2310 Dean St, St Charles, IL 60175 | |
| (630) 584-8984 | |
| (630) 584-1308 |
| Full Name | Daniel James Lee |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2310 Dean St, St Charles, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588751135 | NPI | - | NPPES |
| 036082154 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036082154 (Illinois) | Primary |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609180082 PECOS PAC ID: 0446140180 Enrollment ID: O20090407000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel James Lee, MD 1860 Payshere Circle, Chicago, IL 60674-0001 Ph: (630) 469-9200 | Daniel James Lee, MD 2310 Dean St, St Charles, IL 60175 Ph: (630) 584-8984 |
Dr. William H Kobak, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Edward M Newman, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Dr. Teresa L. Homan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Nicole M Witte, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2900 Foxfield Rd, Suite 306, St Charles, IL 60174 Phone: 630-845-2500 Fax: 630-845-9928 | |
Dr. Leticia Gonzalez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3310 W Main St, Suite 200, St Charles, IL 60175 Phone: 630-897-6044 Fax: 630-897-0180 | |
Stewart I Odell, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2310 Dean St, St Charles, IL 60175 Phone: 630-584-8984 Fax: 630-584-1308 |