Individual provider Active NPI

Yunah Lee, PA-C

  • Physician Assistant
  • Elmhurst, IL
National Provider Identifier
1396382933
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007297 Issued in IL
Practice address
188 W Industrial Dr Ste 236
Elmhurst, IL 60126-1610
Phone
(630) 686-8788
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.007297 IL Primary

Addresses

Primary practice location

188 W Industrial Dr Ste 236
Elmhurst, IL 60126-1610

Mailing address

188 W Industrial Dr Ste 236
Elmhurst, IL 60126-1610

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127002454 IL Practitioner - Physician Assistant 1254766918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

1639 N Alpine Rd
Suite 260
Rockford, IL 61107-1481
Phone (815) 395-1500

188 W Industrial Dr
Suite 236
Elmhurst, IL 60126-1610
Phone (630) 686-8788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.007297ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RTP Sports Medicine and Physical Therapy LLC CurrentSince May 11, 2025 Accepting new patients

Locations

188 W Industrial Dr
Ste 236
Elmhurst, IL 60126
Phone (630) 607-0498

Interoperability endpoints

  • Direct secure messaging: yunah.lee.1@25899.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1396382933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR STE 236",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR STE 236",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261610",
            "telephone_number": "630-686-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YUNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.