Provider Demographics
NPI:1487149365
Name:HONG, DONALD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7412011
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-2011
Mailing Address - Country:US
Mailing Address - Phone:314-362-9098
Mailing Address - Fax:314-362-9851
Practice Address - Street 1:1 VILLAGE SQUARE SHOP CTR
Practice Address - Street 2:DIV IM INFECTIOUS DISEASE, STE 1
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1817
Practice Address - Country:US
Practice Address - Phone:314-362-9098
Practice Address - Fax:314-362-9851
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2023009947207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200060702Medicaid