Organization Active NPI

Dawn M Lee, OD, LLC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1174020556
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Apr 11, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1225199565OtherILNPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.