Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEE MICHAEL DE DORE, PA
ActiveLEE MICHAEL DE DORE, PA is a Surgical Physician Assistant healthcare provider located in WINFIELD, Illinois. NPI 1790017085 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WINFIELD, IL
Registration Details
- NPI Number
- 1790017085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2010 (16.496415165849 yrs)
- Last Updated
- Jun 16, 2017
- License
-
085003692 (IL)
Practice Information
- Address
-
25 N WINFIELD ROADSUITE 505WINFIELD, IL, 60190Browse IL providers · Browse ZIP 60190
- Phone
- 6306825653
- Fax
- 6306828946
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WINFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. SONAL VITHAL PATEL | PA-C | 1720029929 |
| MRS. LAUREN MARIE OPILA | PA-C | 1841587045 |
| ERIN KANE | PA-C | 1912478074 |
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.