Provider Demographics
NPI:1528523057
Name:LEE, JUSTIN WING HANG (PA-C, CAQ-PSYCH)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:WING HANG
Last Name:LEE
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Gender:M
Credentials:PA-C, CAQ-PSYCH
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Mailing Address - Street 1:333 SKOKIE BLVD STE 108-109
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1613
Mailing Address - Country:US
Mailing Address - Phone:847-450-6393
Mailing Address - Fax:847-919-8375
Practice Address - Street 1:333 SKOKIE BLVD STE 108-109
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1613
Practice Address - Country:US
Practice Address - Phone:847-450-6393
Practice Address - Fax:847-919-8375
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2025-09-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical