Jennifer S Lee MD LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036119974 Issued in IL

Legal business name

JENNIFER S LEE MD LLC

Practice address

320 E Carpenter St
Springfield, IL 62702-5185

Phone

(217) 523-0808

Fax

(217) 523-9859

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer S Lee, MD

Title

Owner/President

Phone

(217) 523-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1528226222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025185",
            "telephone_number": "217-523-0808",
            "fax_number": "217-523-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025185",
            "telephone_number": "217-523-0808",
            "fax_number": "217-523-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER S LEE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "217-523-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036119974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PROFESSIONAL LICENSE NUMBER",
            "identifier": "036119974",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Alexander Jenkins, MD
• Jennifer E. Jenkins, FNP-BC
• Kyle Jenkins, PTA
• Sierra Jenks, OTRL
• Jenna Reid Yates, PH.D., Licensed Clinical Psychologist, LLC
• Amy Kathleen Jennings, LCSW
• Emily Jo Jennings, APN
• Gayle Joanne Jennings, R.D.
• Jean M Jennings, CRNA
• Stephen H Jennison, M.D.

• Plastic Surgery Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.