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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOO MI LEE - SAMUEL, MD

Active

SOO MI LEE - SAMUEL, MD is a Psychiatric Neurology healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1275683211 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · CRYSTAL LAKE, IL

Registration Details

NPI Number
1275683211
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2007 (19.609128532892 yrs)
Last Updated
Aug 24, 2010
License
036-109024 (IL)

Practice Information

Address
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL, 600146202
Browse IL providers · Browse ZIP 60014
Phone
8153565050
Fax
8153565094
Primary Specialty
Psychiatric Neurology
2084P0804X

Other Psychiatric Neurology Providers in CRYSTAL LAKE, IL

Name Credential NPI
MRS. MOHINDER CHADHA M.D. 1205834017
KATHERINE ANN GODFREY MD 1215064365
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.