Individual provider Active NPI

Tanya Denise Lee

  • Case Manager/Care Coordinator
  • Chicago, IL
National Provider Identifier
1083378319
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2361 S State St # 1145
Chicago, IL 60616-2009
Phone
(312) 498-2006
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2361 S State St # 1145
Chicago, IL 60616-2009

Mailing address

6334 S Normal Blvd
Chicago, IL 60621-2749
Phone (312) 498-2006

Other practice location 1

6956 S Wentworth Ave
Chicago, IL 60621-3735
Phone (312) 498-2006

Other practice location 2

6956 S Wentworth Ave
Chicago, IL 60621-3735
Phone (312) 498-2006

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1083378319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 S NORMAL BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212749",
            "telephone_number": "312-498-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 S STATE ST # 1145",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162009",
            "telephone_number": "312-498-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6956 S Wentworth Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213735",
            "country_code": "US",
            "telephone_number": "312-498-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6956 S Wentworth Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213735",
            "country_code": "US",
            "telephone_number": "312-498-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TANYA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 22, 2021; 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.