Provider Demographics
NPI:1518406388
Name:DIABETES & ENDOCRINOLOGY GROUP, S.C.
Entity Type:Organization
Organization Name:DIABETES & ENDOCRINOLOGY GROUP, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HONG
Authorized Official - Middle Name:SHING
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-868-6999
Mailing Address - Street 1:201 E OGDEN AVE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3633
Mailing Address - Country:US
Mailing Address - Phone:612-868-6999
Mailing Address - Fax:708-310-4381
Practice Address - Street 1:201 E OGDEN AVE
Practice Address - Street 2:SUITE 26
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3633
Practice Address - Country:US
Practice Address - Phone:612-868-6999
Practice Address - Fax:708-310-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty