Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659805521 Individual Practitioner Male Practitioner

Dr. Malcolm Mandela Lee , MD, PHD(C), CLS(AAB)

Specialist - Research Study • Park Forest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Malcolm Lee, MD, PHD(C), CLS(AAB) is a registered healthcare professional specializing in Specialist - Research Study in Park Forest, IL. Practice services are available at 344 VICTORY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

344 Victory Dr

Park Forest, IL 604662003

Telephone 7084903340
Associated Practice Facility / Clinic
🏢 Matthew T. Johnson Md, Pc Facility NPI 1144386202

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist - Research Study in Park Forest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Park Forest, IL (13 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-05
Specialist - Research Study Primary Specialty

NUCC Taxonomy Code: 1744R1102X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1568643864

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
👤
Provider Name / Credentials Updated August 05, 2024

Recorded as MALCOLM LEE, MD, PHD(C), CLS(AAB)

📍
Updated Practice Location March 04, 2024

Registered at 344 VICTORY DR, PARK FOREST, IL 604662003 (Tel: 7084903340)

📍
Updated Business Mailing Address March 04, 2024

Registered at 344 VICTORY DR, PARK FOREST, IL 604662003 (Tel: 7084903340)

👤
Provider Name / Credentials Updated March 04, 2024

Recorded as MALCOLM LEE, MD, CLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2024

Specialist

📍
Updated Practice Location September 13, 2021

Registered at 21237 S LA GRANGE RD STE 5, FRANKFORT, IL 604232047 (Tel: 7084903340)

👤
Provider Name / Credentials Updated September 13, 2021

Recorded as MALCOLM LEE, MBBS, CLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Clinical Medical Laboratory (License #10847788 in IL)

📍
Updated Practice Location September 21, 2020

Registered at 48 BROOK PARK LN, PARK FOREST, IL 604662642 (Tel: 7087318444)

📍
Updated Business Mailing Address September 21, 2020

Registered at 48 BROOK PARK LN, PARK FOREST, IL 604662642 (Tel: 7087318444)

👤
Provider Name / Credentials Updated September 21, 2020

Recorded as MALCOLM LEE, PHLEBOTOMIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2020

Radiology (License #1659805521 in IL)

📍
Updated Practice Location September 30, 2019

Registered at 277 BOSTON ST, CHICAGO HEIGHTS, IL 604114026 (Tel: 7082693333)

📍
Updated Business Mailing Address September 30, 2019

Registered at 277 BOSTON ST, CHICAGO HEIGHTS, IL 604114026 (Tel: 7082693333)

NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2017

Registered at 22232 ROCKINGHAM RD, RICHTON PARK, IL 604711119 (Tel: 7082004979)

📍
Updated Business Mailing Address April 17, 2017

Registered at 22232 ROCKINGHAM RD, RICHTON PARK, IL 604711119 (Tel: 7082004979)

👤
Provider Name / Credentials Updated April 17, 2017

Recorded as MALCOLM LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Specialist/Technologist, Pathology

🟢
Initial NPI Registration & Enumeration April 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659805521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: August 05, 2024
Sole Proprietor: Yes

Mailing Address

344 Victory Dr

Park Forest, IL 604662003

Phone: 7084903340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.