Ham Nyung Lee, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

036053770 Issued in IL

Practice address

4440 W 95TH St
Oak Lawn, IL 60453-2600

Phone

(708) 346-5475

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Consultants in Radiation Oncology S.C.

  • Radiation Oncology Physician
  • Oak Lawn, IL
  • NPI 1497736839
  NPD (past)
• High Technology Inc

  dba High Tech Medical Park

  • Radiology Clinic/Center
  • Palos Heights, IL
  • NPI 1033226030
  NPD (past)
• High Technology, Inc.

  dba High Tech Medical Park

  • Radiation Oncology Clinic/Center
  • Palos Heights, IL
  • NPI 1053484667
  NPD (past)
• Inter-Community Radiation Oncology SC

  • Radiation Oncology Physician
  • Hazel Crest, IL
  • NPI 1093796336
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1316929177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-460-9836",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532600",
            "telephone_number": "708-346-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HAM",
        "middle_name": "NYUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036053770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE HITECH",
            "identifier": "920004024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ICRO",
            "identifier": "920004029",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053770",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE CONSULTNTS",
            "identifier": "360002166",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian L Lee, MHS, CADC
• Christina M Lee, FNP
• Christine Lee, APN, FNP-BC
• Douglas A Lee, MD
• Eleanor Heejin Lee, DO
• Isaac Lee, DMD
• Jane Kayle Jaein Lee, M.D.
• Michael Lee Jr., DMD
• Renee Yvonne Lee, LCSW
• Nathan Lehocky

• Radiation Oncology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.