Active NPI
Andrea Marie Lee, L.AC.
- Acupuncturist
- Chicago, IL
National Provider Identifier
1174965263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198001087
- Practice address
- 5115 N Ravenswood Ave
Chicago, IL 60640-2712 - Phone
- (815) 519-5566
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198001087 | IL | Primary |
Addresses
Primary practice location
5115 N Ravenswood Ave
Chicago, IL 60640-2712
Mailing address
5936 N Paulina St
Apt. 2
Chicago, IL 60660-3272
Phone (815) 519-5566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198001087 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1174965263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 N PAULINA ST",
"address_2": "APT. 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603272",
"telephone_number": "815-519-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402712",
"telephone_number": "815-519-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001087",
"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 Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.