Individual provider · Type 1 NPI

Adam Ricky Lee, MD

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1235759754 Active

Practice location

Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard
Rockford, IL 61114

Mailing address

Javon Bea Hospital -Rockton Avenue, 2400 North Rockton Avenue
Rockford, IL 61103

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235759754

Adam Ricky Lee, MD's National Provider Identifier is 1235759754, issued on Apr 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Jul 24, 2020.