Active NPI
Dawn M Lee, OD, LLC
- Clinic/Center
- Chicago, IL
National Provider Identifier
1174020556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- DAWN M LEE, OD, LLC
- Practice address
- 2057 N Clybourn Ave
Chicago, IL 60614-4003 - Phone
- (773) 477-3475
- NPI assigned
- Apr 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Lee
- Title
- OD
- Phone
- (312) 852-4455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2057 N Clybourn Ave
Chicago, IL 60614-4003
Mailing address
1036 N Crosby St
Chicago, IL 60610-2404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225199565 | Other | IL | NPI |
National Provider Directory
National Provider DirectoryLocations
2057 N Clybourn Ave
Chicago, IL 60614
Phone (773) 477-3475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1174020556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 N CROSBY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2057 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144003",
"telephone_number": "773-477-3475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN M LEE, OD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OD",
"authorized_official_telephone_number": "312-852-4455"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225199565",
"state": "IL"
}
],
"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 Apr 11, 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.