Individual ProviderJuhyun LeeRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 S 1st Ave, Maywood, IL 60153-3328(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider Juhyun Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1558989798Provider TypeIndividualFull NameLee, JuhyunGenderFemaleSole ProprietorNoEnumeration Date7/13/2020Last Updated6/12/2022Contact InformationPractice LocationPractice Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-0899Mailing LocationMailing Address2160 S 1st Ave, Maywood, IL 60153-3328Phone(708) 216-9000Fax(708) 216-0899Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense125.077561IllinoisCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense125.077561IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer