Lee Michael De Dore, PA is a surgical physician assistant in Winfield, IL with 15 years of experience. Lee Michael De Dore, PA NPI is 1790017085. 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:
25 N WINFIELD ROAD
SUITE 505
WINFIELD, IL
ZIP 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
The NPI 1790017085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/11/2010 and was last updated on 6/16/2017.