DR. CHULJOO LEE (NPI# 1972835155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972835155 |
| Entity Type | Individual |
| Full Name | DR. CHULJOO LEE |
| Credential | D.D.S. |
| Practice Address |
4905 Old Orchard Ctr Ste426 Skokie IL 60077-1458 |
| Practice Telephone | 8476750882 |
| Practice Fax Number | 8476750882 |
| Mailing Telephone | 8476750882 |
| Mailing Fax Number | 8476750882 |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019016567 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS LICENSED DENTIST | 019016567 | 01 |
| Street Address |
4905 OLD ORCHARD CTR STE426 |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
| 1023554276 | Idalia Karolina Walo | Counselor | 4905 Old Orchard Ctr, Suite428, Skokie, IL 60077-1458 | 2017-01-12 |
| 1639611056 | Anuj Lal Md Ltd | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2016-11-16 |
| 1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
| 1679980924 | Toni Ellis Wolf, Dds, PC | Dentist | 4905 Old Orchard Ctr, Su 232, Skokie, IL 60077-1458 | 2014-07-18 |
| 1790127660 | Abc Home Health Care, Inc | Home Health | 4905 Old Orchard Ctr, Suite 736, Skokie, IL 60077-1458 | 2013-07-21 |
| 1780925305 | Gregory Kaczmarek, Md, LLC | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2013-03-06 |
| 1235401019 | Resurrection Services | General Practice | 4905 Old Orchard Ctr, Suite 634, Skokie, IL 60077-1458 | 2012-02-08 |
| 1316227655 | Sergio Rubinstein | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-08-18 |
| 1427348903 | Alan J. Nidetz | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| 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 |
|---|---|---|---|---|
| 1972068062 | Brighter Smile Dentistry, P.C. | Dentist | 4836 Main St Ste 1, Skokie, IL 60077-2594 | 2019-02-04 |
| 1093219784 | Joan C Wang | Dentist | 4709 Golf Rd Ste 804, Skokie, IL 60076-1258 | 2018-03-19 |
| 1659816155 | Village Crossing Dentistry Ltd | Dentist | 7133 Central Ave, Skokie, IL 60077-3275 | 2016-12-20 |
| 1992151518 | Lavi Zaret | Dentist | 4711 Golf Rd Ste 550, Skokie, IL 60076-1269 | 2016-05-12 |
| 1720497266 | University Dental Associates | Dentist | 5215 Old Orchard Rd Ste 200, Skokie, IL 60077-1041 | 2014-08-08 |
| 1629203302 | Mengyu Tsai Dds Ltd | Dentist | 9530 Lowell Ave, Skokie, IL 60076-1465 | 2009-05-24 |
| 1154555142 | Jessie Kunnel | Dentist | 9933 Lawler Ave Ste 401, Skokie, IL 60077-3726 | 2009-05-06 |
| 1679707616 | Asher S Gelman | Dentist | 9138 Four Winds Way, Skokie, IL 60076-1753 | 2009-05-05 |
| 1255590030 | Douglas R. Hasegawa | Dentist | 3347 Dempster St, Skokie, IL 60076-2411 | 2008-06-05 |
| 1679740534 | Constantin Izvanariu | Dentist | 7514 Skokie Blvd, Skokie, IL 60077-3377 | 2008-05-09 |
| Find all providers in SKOKIE | ||||
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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.