| Justin Lee, MD | |
|
155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | |
| (331) 221-5420 | |
| (331) 221-3701 |
| Full Name | Justin Lee |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 155 E Brush Hill Rd, Elmhurst, Illinois |
| 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 |
|---|---|---|---|
| 1659990638 | NPI | - | NPPES |
| 1659990638 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 036.174381 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036.174381 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 2092 |
| Entity Name | The Medical College of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Lee, MD 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 982-3175 | Justin Lee, MD 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 Ph: (331) 221-5420 |
Dr. Stephany Lynne Mazur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 |
Suruchi Dewoolkar, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-1160 |
Rajeev Bhorade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Rd. Department Of Radiology, Elmhurst, IL 60126 Phone: 331-221-5420 |
Behrad Golshani, Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 |
Dr. Kiran Chandrakant Rajmane, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-982-6710 |
Marijan Pejic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-5420 Fax: 331-221-3701 |
Regina Liebman, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 |