DR. MALCOLM MANDELA LEE MD CLS NPI 1659805521

NPI Information

NPI: 1659805521
Provider Name: DR. MALCOLM MANDELA LEE, MD, CLS
Classification: Specialist - 1744R1102X
Entity Type: Individual

Specialization: Research Study

Address:
344 VICTORY DR
PARK FOREST, IL
ZIP 60466
Phone: (708) 490-3340
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DR. Malcolm Mandela Lee, MD, CLS is a research study specialist in Park Forest, IL. DR. Malcolm Mandela Lee, MD, CLS NPI is 1659805521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

344 VICTORY DR
PARK FOREST, IL
ZIP 60466-003
Phone: (708) 490-3340

The enumeration date for this NPI number is 4/17/2017 and was last updated on 3/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744R1102X	Specialist	Research Study		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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