Young Nahm Lee, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036053446 Issued in IL

Practice address

701 14TH St
North Chicago, IL 60064-1409

Phone

(847) 689-3344

Fax

(847) 689-3346

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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.

• Vista Clinic Corporation

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1356432215
  NPD (past)
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1699760462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 14TH ST",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641409",
            "telephone_number": "847-689-3344",
            "fax_number": "847-689-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 14TH ST",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641409",
            "telephone_number": "847-689-3344",
            "fax_number": "847-689-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG",
        "middle_name": "NAHM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036053446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053446",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yen VI Ledesma, PHARM.D
• Elizabeth Ji Yoon Lee, PHARMD
• Fritzie Lee, NP
• Joanna Yerim Lee
• Tetz Cheng-Che Lee, MD, PHD, MPH
• Youngjun Lee
• Debi Leer
• Amy E Lefstad
• Jennifer Lehmann, PH.D.
• Jessica Marie Leider

• General Practice Physician in North Chicago, IL
• Providers in North Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.