| Eugene Lee, MD | |
|
4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 | |
| (815) 455-2752 | |
| (815) 455-2789 |
| Full Name | Eugene Lee |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4309 W Medical Center Dr Ste B202, Mchenry, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306835244 | NPI | - | NPPES |
| 036065069 | Other | IL | STATE LICENSE |
| 036065069 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036065069 (Illinois) | Primary |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Lee, MD 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 Ph: (815) 455-2752 | Eugene Lee, MD 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050-8417 Ph: (815) 455-2752 |
Dr. Keilla Amorim Schmidt, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4530 Fax: 815-759-8053 | |
Dr. Basudeb Saha, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4318 L Crystal Lake Rd, Mchenry, IL 60050 Phone: 815-344-0620 Fax: 815-344-0504 | |
Dr. Anand R Desai, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Dr. Alexandra B. Roginsky Tsesis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Karishma Bhatt, MD Surgery Medicare: Medicare Enrolled Practice Location: 4309 W Medical Center Dr Ste B202, Mchenry, IL 60050 Phone: 815-455-2752 Fax: 815-455-2789 | |
Mr. G Hossein M Riahi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4309 Medical Center Dr, Suite B205, Mchenry, IL 60050 Phone: 814-385-1950 Fax: 815-385-1073 |