| Joon Woo Lee, | |
|
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
| (219) 392-6096 | |
| (219) 392-6998 |
| Full Name | Joon Woo Lee |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 24 Years |
| Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609397066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01085104A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southlake Community Mental Health Center Inc | 5991600355 | 37 |
| Entity Name | Southlake Community Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031201000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Joon Woo Lee, 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6096 | Joon Woo Lee, 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6096 |
Farzana A Khan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2010 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6369 | |
Prakash Varghese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 | |
Maheen Islam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4321 Fir St, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 | |
Lolita O Ang, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-3998 | |
Graciela E Hernandez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4320 Fir St Ste 206, East Chicago, IN 46312 Phone: 219-397-2929 Fax: 219-397-2929 | |
Epifanio Gloria Sandoval, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 |