Individual provider Active NPI

Victoria S Lee, MD

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1174899066
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036.150158 Issued in IL
Practice address
1855 W Taylor St Ste 3
Chicago, IL 60612-7244
Phone
(312) 996-6582
Fax
(312) 996-1282
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D84759 MD
Otolaryngology Physician 207Y00000X 036.150158 IL Primary

Addresses

Primary practice location

1855 W Taylor St Ste 3
Chicago, IL 60612-7244

Mailing address

1855 W Taylor St RM 2.42
Chicago, IL 60612-7242
Phone (312) 996-6582

Other practice location 1

60 E Delaware Pl Ste 1422
Chicago, IL 60611-1405
Phone (312) 996-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024000686 IL Practitioner - Otolaryngology 4587981402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1855 W Taylor St
Mc648
Chicago, IL 60612-7242
Phone (312) 996-6582

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.150158ILMDOtolaryngology Physician
D84759MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Nov 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 1, 2019 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince May 1, 2021 Accepting new patients
The Board of Trustees of the University of Illinois Otolaryngology CurrentSince Oct 1, 2019 Accepting new patients
Mount Sinai Community Foundation CurrentSince Nov 1, 2024 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

4646 N Marine Dr
Ste C6500
Chicago, IL 60640
Phone (773) 728-4655

1855 W Taylor St
Ste 3
Chicago, IL 60612
Phone (312) 996-6582

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

60 E Delaware Pl
Ste 1422
Chicago, IL 60611
Phone (312) 996-6582

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

1855 W Taylor St
Rm 242
Chicago, IL 60612
Phone (312) 996-6584

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: victoria.lee.1@18552.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1174899066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST RM 2.42",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-6582",
            "fax_number": "312-996-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST STE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127244",
            "telephone_number": "312-996-6582",
            "fax_number": "312-996-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 E Delaware Pl Ste 1422",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606111405",
            "country_code": "US",
            "telephone_number": "312-996-6582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D84759",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036.150158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.