Dr Brendan Lee PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR BRENDAN LEE PC

Doing business as

Body Fusion Chiropractic

Practice address

2909 Macarthur Blvd
Northbrook, IL 60062-2004

Phone

(312) 909-5825

NPI assigned

Feb 22, 2016

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brendan Lee, D.C.NPI 1710039995

Title

Owner/President

Phone

(312) 909-5825

Specialties & licenses 1

Addresses

Other names 1

• Body Fusion Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brendan Daniel Lee, D.C.

  • Chiropractor
  • Northbrook, IL
  • NPI 1710039995
  Medicare reassignment NPD Authorized official
• Scott Jason Spencer, D.C.

  • Sports Physician Chiropractor
  • Chicago, IL
  • NPI 1679620306
  NPD (past)

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1265891030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 MACARTHUR BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622004",
            "telephone_number": "312-909-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MACARTHUR BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622004",
            "telephone_number": "312-909-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 W Washington St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606022353",
            "country_code": "US",
            "telephone_number": "312-593-5194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR BRENDAN LEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-909-5825",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Fusion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.