MR. ANDREW THOMAS LEE (NPI# 1457872731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457872731 |
| Entity Type | Individual |
| Full Name | MR. ANDREW THOMAS LEE |
| Credential | MA |
| Practice Address |
6200 Cermak Rd Fl 2 Berwyn IL 60402-2322 |
| Mailing Address |
5435 S Long Ave Chicago IL 60638-2919 |
| Practice Telephone | 7087888808 |
| Mailing Telephone | 7085734125 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1235669771 | Andrew Joseph Lee | Technician/Technologist | 4484 Janice Lee Dr Apt A013, Okemos, MI 48864-1989 | 2017-06-18 |
| 1811423783 | Andrew M Lee | Specialist/Technologist, Other | 2717 E 93rd St, Suite 303, Tulsa, OK 74137-4602 | 2017-05-11 |
| 1093256372 | Andrew Lawrence Lee | Specialist/Technologist | 3329 Meadow Ridge Dr, Corpus Christi, TX 78418-3938 | 2017-03-20 |
| 1275080160 | Andrew K Lee | Physician Assistant | 5575 Warren Pkwy Ste 120, Frisco, TX 75034-4093 | 2016-09-08 |
| 1457806499 | Andrew C Lee | Dentist | 5037 Souza Dr, Las Vegas, NV 89146 | 2016-08-19 |
| 1306297635 | Andrew Lee | Acupuncturist | 3130 W Olympic Blvd Ste 380, Los Angeles, CA 90006-2655 | 2016-06-28 |
| 1659733194 | Andrew Moses Lee | Student in an Organized Health Care Education/Training Program | 205 Webster St, San Francisco, CA 94117-3509 | 2016-03-23 |
| 1700297819 | Andrew Lee | Dentist | 2801 Waterman Blvd Ste 290, Fairfield, CA 94534-2972 | 2014-05-12 |
| Street Address |
6200 CERMAK RD FL 2 |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227995 | Jaclyn Wallen | Counselor | 6501 Stanley Ave, Berwyn, IL 60402-3123 | 2020-08-28 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1104312149 | Annie Elizabeth Baker | Counselor | 465 Winston Way, Berwyn, PA 19312-1145 | 2018-07-02 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| 1255614228 | Ivone Gutierrez | Counselor | 3245 Grove Ave Ste 104, Berwyn, IL 60402-3475 | 2011-09-26 |
| 1770716805 | Terri K Treiman | Counselor | 6918 Windsor Ave # B, Berwyn, IL 60402-3334 | 2009-08-24 |
| 1962644104 | Elizabeth Ann Brown | Counselor | 6 Porteous Rd, Berwyn, PA 19312-1275 | 2009-04-02 |
| 1477711638 | Specialized Rehabilitation Services, Inc | Counselor | 1347 Cuyler Ave, 2nd Floor, Berwyn, IL 60402-1391 | 2008-05-23 |
| 1447850557 | Sigita Lukauskaite | Counselor | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2020-10-28 |
| 1568060895 | Sylvia Garza | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-10-09 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.