| Shin Wook Lee, MD | |
|
1200 S 1st Ave, Hines, IL 60141-0800 | |
| (708) 338-7400 | |
| Not Available |
| Full Name | Shin Wook Lee |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1200 S 1st Ave, Hines, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134581598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036.164876 (Illinois) | Primary |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Entity Name | The Fifth Avenue Counseling Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801037270 PECOS PAC ID: 9739246125 Enrollment ID: O20090527000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Shin Wook Lee, MD 1200 S 1st Ave, Hines, IL 60141-0800 Ph: (708) 338-7400 | Shin Wook Lee, MD 1200 S 1st Ave, Hines, IL 60141-0800 Ph: (708) 338-7400 |
Mrs. Ai Kyung Chin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
Sudha R Gupta, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-7936 | |
James Bernard Brunner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
Dr. Luz Bunuan Cuaresma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5th And Roosevelt Rd., Hines, IL 60141 Phone: 312-265-1946 | |
Dr. Juhi Singh Kushwaha, BS, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Dr. Morris Alan Fisher, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5th & Roosevelt, Hines, IL 60141 Phone: 708-202-2844 Fax: 708-202-7936 |