Provider Demographics
NPI:1891853016
Name:UY, ROMEO LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:LEE
Last Name:UY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 LAKESIDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5111
Mailing Address - Country:US
Mailing Address - Phone:847-715-0923
Mailing Address - Fax:
Practice Address - Street 1:5140 NORTH CALIFORNIA AVE
Practice Address - Street 2:SUITE 620
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-275-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E64506Medicare UPIN
IL558840Medicare ID - Type Unspecified