Active NPI
Christina Mary Lee, L.AC
- Acupuncturist
- Chicago, IL
National Provider Identifier
1043468283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000341
- Practice address
- 222 N Columbus Dr
Suite# 305
Chicago, IL 60601-7810 - Phone
- (312) 493-6459
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198000341 | IL | Primary |
| Homeopath | 175L00000X | 198000341 | IL |
Addresses
Primary practice location
222 N Columbus Dr
Suite# 305
Chicago, IL 60601-7810
Mailing address
222 N Columbus Dr
Suite# 305
Chicago, IL 60601-7810
Phone (312) 493-6459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198000341 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Bamboo Acupuncture & Oriental Medicine | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Acupuncturist
- Chicago, IL
- NPI 1053569202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1043468283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N COLUMBUS DR",
"address_2": "SUITE# 305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017810",
"telephone_number": "312-493-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N COLUMBUS DR",
"address_2": "SUITE# 305",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017810",
"telephone_number": "312-493-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTINA",
"middle_name": "MARY",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000341",
"primary": true
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": "IL",
"license": "198000341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.