Francis Chaepoong Lee, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036042486 Issued in IL

Practice address

606 W Pershing Rd
Suite E
Decatur, IL 62526-1633

Phone

(217) 877-7171

Fax

(217) 877-7481

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1396735114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W PERSHING RD",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-877-7171",
            "fax_number": "217-877-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W PERSHING RD",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-877-7171",
            "fax_number": "217-877-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FRANCIS",
        "middle_name": "CHAEPOONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036042486",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036042486",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036042486",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036042486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5800184",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042486",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel a Walton DO SC
• Laura E Law, PA-C
• Gregory L Lawson, PTA
• Sienna Layne, RBT
• Becky S Lebar
• John C. Lee, M.D.
• Katlyn Lane Lee, OD
• Kyoung Yun Lee, D.D.S
• Nathan A Lee, DO
• Stacy L Lee

• Dermatology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.