SUE LEE (NPI# 1508870270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508870270 |
| Entity Type | Individual |
| Full Name | SUE LEE |
| Credential | M.D. |
| Practice Address |
4211 N Cicero Ave Suite 308 Chicago IL 60641-1651 |
| Mailing Address |
5304 N Broadway St Chicago IL 60640-2312 |
| Practice Telephone | 7737366125 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-087407 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218366 | Sue J Lee | Speech-Language Pathologist | 355 S High St, Wailuku, HI 96793-2103 | 2019-07-30 |
| 1548625189 | Sue Lee | Nurse Practitioner | 19820 Scriber Lake Rd Ste 2, Lynnwood, WA 98036-6121 | 2015-12-28 |
| 1659636165 | Sue Lee | Specialist | 3510 156th St, Flushing, NY 11354-5022 | 2012-07-10 |
| 1073667127 | Sue Kim Lee | General Practice | 2199 N Decatur Road, Ste 3, Decatur, GA 30033 | 2007-01-23 |
| 1083791065 | Sue O Lee | Chiropractor | 4221 Wilshire Blvd Ste 284, Los Angeles, CA 90010-3509 | 2006-11-01 |
| 1215591037 | Sue Lee | Behavior Technician | 7261 W Charleston Blvd Ste 101, Las Vegas, NV 89117-1679 | 2019-04-26 |
| 1568929461 | Sue Lee | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2019-02-27 |
| 1992288344 | Sue Jung Lee | Licensed Vocational Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-09-12 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1316386485 | Sue Jung Lee | Pharmacist | 417 N Broadway, Jericho, NY 11753-2106 | 2013-06-21 |
| Street Address |
4211 N CICERO AVE SUITE 308 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444184 | Jack C. Enter Jr. | Physician Assistant | 4211 N Cicero Ave, Suite 100, Chicago, IL 60641-1651 | 2005-08-11 |
| 1205378460 | Caroline Rodriguez | Nurse Practitioner | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2016-11-04 |
| 1114342037 | Lauren Kimberly Hofius | Specialist/Technologist, Other | 4211 N Cicero Ave, #400, Chicago, IL 60641-1651 | 2014-02-28 |
| 1477892917 | Jacob M Richey | Podiatrist | 4211 N Cicero Ave, Chicago, IL 60641-1651 | 2013-02-04 |
| 1558611624 | Sophia Zamudio Rasof | Family Medicine | 4211 N Cicero Ave, Suite 308, Chicago, IL 60641-1651 | 2012-09-14 |
| 1265792212 | Sonia Shah M D S C | Internal Medicine | 4211 N Cicero Ave, Suite 203, Chicago, IL 60641-1651 | 2012-05-24 |
| 1740585736 | Chandra B Rathod Mdsc | Clinic/Center | 4211 N Cicero Ave, Suite 203, Chicago, IL 60641-1651 | 2011-01-21 |
| 1538460134 | Six Corners Anesthesia LLC | Anesthesiology | 4211 N Cicero Ave, Suite 400, Chicago, IL 60641-1651 | 2010-11-12 |
| 1720225469 | Diana Barros | Physician Assistant | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2009-01-16 |
| 1801055777 | Gerard P Alleje | Physical Therapist | 4211 N Cicero Ave, Suite #200, Chicago, IL 60641-1651 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| Find all providers in CHICAGO | ||||
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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.