Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeongwon Lee, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518750546

Jeongwon Lee, DO is a Student in an Organized Health Care Education/Training Program in Kankakee, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

350 N Wall St
Kankakee, IL 60901-2901
Phone: (815) 933-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1518750546
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025
Mailing address350 N Wall St, Kankakee, IL 60901-2901

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