MR. WARREN LEE (NPI# 1487661955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487661955 |
| Entity Type | Individual |
| Full Name | MR. WARREN LEE |
| Credential | PA |
| Practice Address |
1701 W, Curtis Road Dermatology Champaign IL 61822 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173656204 |
| Practice Fax Number | 2173261234 |
| Mailing Telephone | 2173836792 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085-000781 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407051147 | Warren L Lee | Dentist | 38689 Stivers St, Fremont, CA 94536 | 2007-06-20 |
| 1942696448 | Warren Christopher Lee | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2015-04-10 |
| 1821324674 | Warren Calvin Lee | Pharmacist | 1461 Robert B Cullum Blvd, Dallas, TX 75210-2404 | 2009-10-29 |
| 1720288392 | Warren Gamaliel Lee IIi | Psychiatry & Neurology | 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235-7708 | 2007-07-23 |
| Street Address |
1701 W, CURTIS ROAD DERMATOLOGY |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255833695 | Marisol Chirinos Tito | Physician Assistant | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2018-03-01 |
| 1922459650 | Kathryn Corgan Mitchell | Physician Assistant | 101 W University Ave, Champaign, IL 61820 | 2016-06-23 |
| 1043593262 | Whitney Kauffman | Physician Assistant | 101 W University Ave, Champaign, IL 61820-3909 | 2011-09-23 |
| 1760611149 | Stephanie Painter | Physician Assistant | 1701 Curtis Rd, Champaign, IL 61822-9678 | 2009-07-07 |
| 1114106002 | Janice K Jones | Physician Assistant | 1801 Windsor Rd, Champaign, IL 61822-6217 | 2007-10-29 |
| 1790792562 | Edwin W. Mccammack | Physician Assistant | 101 W University Ave, Champaign, IL 61820-3909 | 2006-08-02 |
| 1902813454 | Gina C. Bird | Physician Assistant | 101 W University Ave, Champaign, IL 61820-3981 | 2006-08-01 |
| 1164479234 | Meghan Elizabeth Baumann | Physician Assistant | 2125 S Neil St, Champaign, IL 61820-7266 | 2006-05-27 |
| 1629041660 | Carole S Mcnamara | Physician Assistant | 1802 S Mattis Ave, Orthopedics, Champaign, IL 61821-5923 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.