Choongkoon Jane Lee, MD
Individual provider Active NPI Internal Medicine Physician · Morris, IL
NPI 1497761811 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497761811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Practice address
- 219 West Bedford Road
Morris, IL 60450 - Phone
- (815) 942-1633
- Fax
- (815) 942-2333
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1802 N Division St
Suite 211
Morris, IL 60450-3112
Phone (815) 942-1633
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051229000646 | IL | Practitioner - Internal Medicine | 5597787846 | Practice locations: Morris, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahbain Internal Medicine LTD | Internal Medicine | Past |
Accepting new patients |
| Conrod Chiropractic Clinic LTD. | Past |
Accepting new patients | |
| Erik K Muraskas MD LTD | Past | Accepting new patients | |
| Tratt Clinic SC | Past | Accepting new patients | |
| Morris Medical Center, LTD. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Yes |
Addresses
Primary practice location
219 West Bedford Road
Morris, IL 60450
Mailing address
219 West Bedford Road
Morris, IL 60450
Phone (815) 942-1633
Other names
- C Jane Lee
Other providers in Morris, IL
- Language and Learning Inc
- Amy L Lawler
- Kristin Page Lawler
- Bradley R Lawton
- Leading Edge Health & Wellness Diagnostic Center
- Kelly Rae Lesemann
- Let'S Talk Together
- Suling Li
- Liberty Medical Center Inc
- Kimberly Lim Gomez
All providers in Morris, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.