DR. ANDREW LEE (NPI# 1679699391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679699391 |
| Entity Type | Individual |
| Full Name | DR. ANDREW LEE |
| Credential | D.D.S. |
| Practice Address |
3811 N Broadway St Chicago IL 60613-3217 |
| Practice Telephone | 7732817351 |
| Mailing Telephone | 7732817351 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1004889 | 05 |
| 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 |
| 1457872731 | Andrew Thomas Lee | Counselor | 6200 Cermak Rd Fl 2, Berwyn, IL 60402-2322 | 2017-06-27 |
| 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 |
| Street Address |
3811 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144270679 | Anthony Lee | Dentist | 3811 N Broadway St, Chicago, IL 60613-3217 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| 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.