BRANDON LEE (NPI# 1962909366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962909366 |
| Entity Type | Individual |
| Full Name | BRANDON LEE |
| Practice Address |
520 S Maple Ave Oak Park IL 60304-1022 |
| Mailing Address |
520 S Maple Ave Oak Park IL 60304-1097 |
| Practice Telephone | 7087704700 |
| Practice Fax Number | 7086604753 |
| Mailing Telephone | 7086606633 |
| Mailing Fax Number | 7086606658 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |
| 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 |
|---|---|---|---|---|
| 1992358626 | Brandon Lee | Specialist/Technologist | 3502 Markley Creek Dr, Antioch, CA 94509-6287 | 2019-07-22 |
| 1477030567 | Brandon Ronald Lee | Optometrist | 2644 E Berry St., Fort Worth, TX 76105 | 2018-07-23 |
| 1518351600 | Brandon Chu Lee | Pediatrics | 2831 East George Bush Highway, Richardson, TX 75082-3561 | 2015-03-26 |
| 1669818118 | Brandon Lee | Counselor | 2629 Portland St, Apt 103, Los Angeles, CA 90007-2471 | 2013-05-10 |
| 1639426828 | Brandon Yongjo Lee | Acupuncturist | 3610 Gainesway Trce, Duluth, GA 30096-1739 | 2012-08-07 |
| 1043598238 | Brandon Michael Lee | Pharmacist | 10530 John W Elliott Dr Ste 100, Frisco, TX 75033-2014 | 2011-07-22 |
| 1720392228 | Brandon Scott Lee | Physical Therapist | 4020 Lonesome Rd, Mandeville, LA 70448-7085 | 2010-07-27 |
| 1720607476 | Brandon Lee | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-04-13 |
| 1598395394 | Brandon Lee | Behavior Technician | 21505 N 78th Ave, Suite 125, Peoria, AZ 85382-3356 | 2020-01-21 |
| 1326523382 | Brandon Lee | Emergency Medicine | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-09-26 |
| Street Address |
520 S MAPLE AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60304-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538126396 | Daniel M. Kruss | Internal Medicine | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2006-04-27 |
| 1306453527 | Ranya Elkhatib | Nurse Anesthetist, Certified Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-10-01 |
| 1033721873 | Monica Huback | Registered Nurse | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-08-22 |
| 1295344091 | Samantha Gianakas | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1104435908 | Molly Hodul | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-07-28 |
| 1942838594 | Alison Jordan | Nurse Practitioner | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-03-30 |
| 1265066518 | Caroline J Salozzo | Dietitian, Registered | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-26 |
| 1093348385 | Joyce Heather Brunner | Physical Therapist | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2020-02-15 |
| 1417410077 | Alexander Michael Lawson | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-10 |
| 1578026662 | Ryan Alexander Haaksma | Student in an Organized Health Care Education/Training Program | 520 S Maple Ave, Oak Park, IL 60304-1022 | 2019-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288532 | Kane Physiotherapy, LLC | Physical Therapist | 617 S. Harvey Ave., Oak Park, IL 60304 | 2020-09-08 |
| 1982221909 | Rachel Hunter | Marriage & Family Therapist | 283 Fillmore Street, Oak Park, IL 60304 | 2020-06-26 |
| 1073086211 | Miguel N Reyes Jr. | Behavioral Analyst | 6930 Roosevelt Rd., Oak Park, IL 60304 | 2019-01-10 |
| 1144722687 | Jesus Torres | Behavior Technician | 6930 W Roosevelt Rd, Oak Park, IL 60304 | 2018-03-01 |
| 1184143190 | Ruth Sharel Babcock | Social Worker | 927 S. Kenilworth Ave., Oak Park, IL 60304 | 2017-09-12 |
| 1053832774 | Anna M Bonick | Doula | 528 S. Taylor Ave., Oak Park, IL 60304 | 2017-07-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1588954135 | Rachana Parag Shah | Physical Medicine & Rehabilitation | 610 S. Maple #3420, Oak Park, IL 60304 | 2011-04-17 |
| 1972825818 | Meghan Mcintyre | Counselor | 610 South Maple Avenue, Suite 3400, Oak Park, IL 60304 | 2010-02-19 |
| 1992953954 | Beverly Harrison Dale | Speech-Language Pathologist | 520 S. Maple Ave, Roph, Oak Park, IL 60304 | 2008-09-03 |
| Find all providers in zip 60304 | ||||
| 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.