Individual provider Active NPI

Patricia Lee, M.D.

  • Diagnostic Radiology Physician
  • La Grange, IL
National Provider Identifier
1699798264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone
(708) 352-1200
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X IL Primary

Addresses

Primary practice location

5101 Willow Springs Rd
La Grange, IL 60525-2600

Mailing address

155 N Harbor Dr Apt 1812
Chicago, IL 60601-5002
Phone (312) 856-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000067 IL Practitioner - Diagnostic Radiology 8224098454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Radiologists, S.C.Group PAC ID 0648248328, 22 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 245-9000

701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone (630) 545-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-097837ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Radiologists, S.C. Diagnostic Radiology CurrentSince Jul 26, 2004 Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

630 E North Ave
Carol Stream, IL 60188
Phone (630) 458-5300

1446 Momentum Pl
Chicago, IL 60689

6084 S Archer Ave
Ste 102
Chicago, IL 60638
Phone (773) 767-2461

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

1 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 286-5500

908 N Elm St
Hinsdale, IL 60521
Phone (630) 325-3310

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

15720 S Route 59
Plainfield, IL 60544
Phone (630) 312-3301

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

6311 S Cass Ave
Westmont, IL 60559
Phone (630) 323-5214

545 Plainfield Rd
Willowbrook, IL 60527
Phone (630) 269-2886

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699798264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N HARBOR DR APT 1812",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015002",
            "telephone_number": "312-856-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-352-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.