Organization Active NPI

Lee Obstetrics and Gynecology, S.C.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1063439073
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LEE OBSTETRICS AND GYNECOLOGY, S.C.
Practice address
6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850
Phone
(309) 691-1259
Fax
(309) 683-8911
NPI assigned
Jul 16, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kate Marie Barnes
Title
Business Manager
Phone
(309) 691-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850

Mailing address

6915 N Knoxville Ave
Suite 1
Peoria, IL 61614-2850
Phone (309) 691-1259

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1063439073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 N KNOXVILLE AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142850",
            "telephone_number": "309-691-1259",
            "fax_number": "309-683-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 N KNOXVILLE AVE",
            "address_2": "SUITE 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142850",
            "telephone_number": "309-691-1259",
            "fax_number": "309-683-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE OBSTETRICS AND GYNECOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "309-691-1259",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.