JUSTIN LEE (NPI# 1659990638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659990638 |
| Entity Type | Individual |
| Full Name | JUSTIN LEE |
| Credential | MD |
| Practice Address |
3 Erie Ct Ste L700 Oak Park IL 60302-2519 |
| Practice Telephone | 7087631222 |
| Practice Fax Number | 7087631471 |
| Mailing Telephone | 7087631222 |
| Mailing Fax Number | 7087631471 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331702 | Justin Youngzi Lee | Student in an Organized Health Care Education/Training Program | University of New Mexico - Neurosurgery, Albuquerque, NM 87131-0001 | 2019-05-14 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669963484 | Justin Mark Lee | Physical Therapist | 277 Wilshire Ave, Daly City, CA 94015-1037 | 2018-05-29 |
| 1861752792 | Justin Mcavoy Lee | Speech-Language Pathologist | 145 Summerfield Rd, Shelburne, VT 05482-7818 | 2012-05-25 |
| 1790941391 | Justin Lee | Surgery | 24a Winship St, Brighton, MA 02135-3312 | 2008-08-03 |
| 1740486232 | Justin Lee | Chiropractor | 18904 Highway 99 Ste Q, Lynnwood, WA 98036-5219 | 2007-06-22 |
| 1104913425 | Justin Thien Lee | Obstetrics & Gynecology | 500 Old River Rd Ste 200, Bakersfield, CA 93311 | 2006-10-06 |
| 1881616332 | Justin S Lee | Dentist | 3250 14th Ave Nw Ste A, Olympia, WA 98502-8546 | 2006-07-24 |
| 1225078579 | Justin Cheuk-fun Lee | Internal Medicine | 209 Mlk Jr Way, Department of Cardiology, Tacoma, WA 98405 | 2006-06-07 |
| 1366062721 | Justin Lee | Pharmacist | 3487 N Stockton Hill Rd, Kingman, AZ 86409-3681 | 2020-04-25 |
| Street Address |
3 ERIE CT STE L700 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457465098 | Thomas Michael Albert | Chiropractor | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2006-08-19 |
| 1962022962 | Myles Alexander Robinson | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-20 |
| 1063032258 | Patrick David Smith | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-17 |
| 1922627454 | Chalonda Renee Handy | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-14 |
| 1861011579 | Zeeshan Qazi | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-13 |
| 1609495738 | Ciara Marina Lockstadt | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-09 |
| 1659990745 | Thao Thua Nguyen | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-09 |
| 1003445222 | Michael Sadek | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-08 |
| 1144859372 | Zisansha Zahirsha | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2020-04-08 |
| 1295393817 | Marie Louise Estacio Cumigad | Student in an Organized Health Care Education/Training Program | 3 Erie Ct Ste L700, Oak Park, IL 60302-2519 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104447531 | Annmarie Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 8 Iowa St Apt 3m, Oak Park, IL 60302-2496 | 2020-04-27 |
| 1770119760 | Michael Anthony Fratina | Student in an Organized Health Care Education/Training Program | 519 S Cuyler Ave Apt 2e, Oak Park, IL 60304-1550 | 2020-03-21 |
| 1972133866 | Erin A Flanagan | Student in an Organized Health Care Education/Training Program | 1036 N Lombard Ave, Oak Park, IL 60302-1435 | 2020-01-21 |
| 1538639398 | Joseph Tayani | Student in an Organized Health Care Education/Training Program | 320 Wisconsin Ave Apt 310, Oak Park, IL 60302-3457 | 2018-12-04 |
| 1508398868 | Wykoff Heights Medical Center | Student in an Organized Health Care Education/Training Program | 240 Washington Blvd, 3b, Oak Park, IL 60302-4123 | 2017-03-28 |
| 1003356775 | Ashley Chen | Student in an Organized Health Care Education/Training Program | 5155 Wagner Way, Oak Park, CA 91377-4731 | 2017-03-01 |
| 1043752991 | Nnenna Udensi | Student in an Organized Health Care Education/Training Program | 165 N Kenilworth Ave, 1b, Oak Park, IL 60301-1225 | 2016-11-09 |
| 1811344567 | Rebecca Grace Maddrell | Student in an Organized Health Care Education/Training Program | 1 Erie Court, Suite 6160, Dr. A.l. Burdick Family Medicine Center, Oak Park, IL 60302-2519 | 2016-05-23 |
| 1114380516 | Grant Joseph Turek | Student in an Organized Health Care Education/Training Program | 707 Garfield St, Apt 3, Oak Park, IL 60304-1978 | 2016-04-01 |
| 1952762783 | Sheila Braggs | Student in an Organized Health Care Education/Training Program | 21141 Ridgedale St, Oak Park, MI 48237-2705 | 2016-03-07 |
| Find all providers in OAK PARK | ||||
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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.