| Lincoln Park Primary Care PLLC | |
|
2845 N Sheridan Rd Suite 910 Chicago IL 60657-7276 | |
| (773) 281-3563 | |
| Not Available |
| Full Name | Lincoln Park Primary Care PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2845 N Sheridan Rd Suite 910, Chicago, Illinois |
| Authorized Official Name and Position | Kew-jung Jung Lee (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7732813563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Park Primary Care PLLC 2845 N Sheridan Rd Ste 910 Chicago IL 60657-7227 | Lincoln Park Primary Care PLLC 2845 N Sheridan Rd Suite 910 Chicago IL 60657-7276 Ph: (773) 281-3563 |
| NPI Number | 1245118579 |
|---|---|
| Provider Enumeration Date | 08/25/2025 |
| Last Update Date | 11/13/2025 |
| Certification Date | 11/13/2025 |
| Medicare PECOS PAC ID | 2961999602 |
|---|---|
| Medicare Enrollment ID | O20251015003742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245118579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Kew Jung Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669463618 PECOS PAC ID: 4486780608 Enrollment ID: I20100326000819 |
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