Active NPI
Hyo Lee, DDS
- General Practice Dentistry
- Skokie, IL
National Provider Identifier
1407257876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.030023
- Practice address
- 8800 Lockwood Ave
Skokie, IL 60077-1500 - Phone
- (847) 983-1400
- NPI assigned
- Sep 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.030023 | IL | Primary |
Addresses
Primary practice location
8800 Lockwood Ave
Skokie, IL 60077-1500
Mailing address
8800 Lockwood Ave
Skokie, IL 60077-1500
Phone (847) 983-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019030023 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.030023 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1407257876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 LOCKWOOD AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771500",
"telephone_number": "847-983-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 LOCKWOOD AVE",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771500",
"telephone_number": "847-983-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HYO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.030023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019030023",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.