Yae Rim Lee, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036137927 Issued in IL

Practice address

805 N Broad St
Carlinville, IL 62626-1075

Phone

(217) 854-3223

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1215215280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261075",
            "telephone_number": "217-854-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261075",
            "telephone_number": "217-854-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YAE RIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036137927",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125059608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Health and Rehab Center LLC
• Lakeside Health and Rehab Center LLC
• Breanna Veronica Lamonte, B.A.
• John A Lapp, OD
• Gregg L Laws, MD
• Nancy El Leefers, LCSW
• Anna Maria Lentini, APN
• Jessica Levora, PA-C
• Michael Levora, D.M.D.
• Nicole Anne List, LCPC

• Psychiatry Physician in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.