KEW-JUNG LEE (NPI# 1669463618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669463618 |
| Entity Type | Individual |
| Full Name | KEW-JUNG LEE |
| Credential | M.D. |
| Practice Address |
830 W Diversey Pkwy Chicago IL 60614-1454 |
| Practice Telephone | 7732813563 |
| Practice Fax Number | 7738806051 |
| Mailing Telephone | 7732813563 |
| Mailing Fax Number | 7738806051 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-091450 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036091450 | 05 |
| Street Address |
830 W DIVERSEY PKWY |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145036 | Preston Michael Wolin | Orthopaedic Surgery | 830 W Diversey Pkwy, Ste 300, Chicago, IL 60614-1454 | 2005-06-27 |
| 1952783805 | Khalil Arshad Ansari | Specialist/Technologist, Other | 830 W Diversey Pkwy, Suite #300, Chicago, IL 60614-1454 | 2015-06-26 |
| 1194121871 | Heather La Grippe | Nurse Practitioner | 830 W Diversey Pkwy, Chicago, IL 60614-1454 | 2014-11-07 |
| 1528477312 | Pedro Antonio Iturbide Siles | Orthopaedic Surgery | 830 W Diversey Pkwy, Suit 300, Chicago, IL 60614-1454 | 2014-08-06 |
| 1326345844 | University of Ilinois At Chicago | General Acute Care Hospital | 830 W Diversey Pkwy, Chicago, IL 60614-1454 | 2011-02-17 |
| 1801190582 | Park West Family Dentistry | Dentist | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 | 2011-01-10 |
| 1265665301 | Specialty Healthcare Services, Ltd. | Surgery | 830 W Diversey Pkwy, Suite 200, Chicago, IL 60614-1454 | 2009-08-24 |
| 1982839585 | Fariha Siddiqui | Dentist | 830 W Diversey Pkwy, 2nd Floor, Chicago, IL 60614-1454 | 2009-05-27 |
| 1083817407 | Center for Athletic Medicine Ltd | Orthopaedic Surgery | 830 W Diversey Pkwy, Suite 300, Chicago, IL 60614-1454 | 2007-06-06 |
| 1659595510 | Lincoln Park Obgyn Sc | Obstetrics & Gynecology | 830 W Diversey Pkwy, Suite 200, Chicago, IL 60614 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.