Provider Demographics
NPI:1588638225
Name:GEE, WILL KENT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILL
Middle Name:KENT
Last Name:GEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7906 S CRANDON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-1146
Mailing Address - Country:US
Mailing Address - Phone:773-768-5707
Mailing Address - Fax:773-768-9210
Practice Address - Street 1:7906 S CRANDON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-1146
Practice Address - Country:US
Practice Address - Phone:773-768-5707
Practice Address - Fax:773-768-9210
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL36-71877174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE99284Medicare UPIN
ID445040Medicare ID - Type UnspecifiedWILL K GEE JR