Individual provider Active NPI

Cheong Jun Lee, M.D.

  • Vascular Surgery Physician
  • Skokie, IL
National Provider Identifier
1699851915
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036.125851 Issued in IL
Practice address
9650 Gross Point Rd Ste 4900
Skokie, IL 60076-1214
Phone
(847) 663-8050
Fax
(224) 251-4407
NPI assigned
Oct 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301081437 MI
Vascular Surgery Physician 2086S0129X 57479 WI
Vascular Surgery Physician 2086S0129X 036.125851 IL Primary

Addresses

Primary practice location

9650 Gross Point Rd Ste 4900
Skokie, IL 60076-1214

Mailing address

9650 Gross Point Rd Ste 4900
Skokie, IL 60076-5080
Phone (847) 663-8050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clee269329@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120809000836 WI Practitioner - Vascular SurgeryPractitioner - General Surgery 4082860861 Reassigns benefits to 1 organization
I20181105001024 IL Practitioner - Vascular SurgeryPractitioner - General Surgery 4082860861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300

2050 Pfingsten Rd
Suite 330
Glenview, IL 60026-1300
Phone (847) 998-4100

2100 Pfingsten Rd
Glenview, IL 60026-1301

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

2650 Ridge Ave
Evanston, IL 60201-1700

5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803

5140 N California Ave
Chicago, IL 60625-3645

777 Park Ave W
Highland Park, IL 60035-2433

7900 Rollins Rd
Gurnee, IL 60031-1512

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

9600 Gross Point Rd
Skokie, IL 60076-1214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Leg revascularization (restoring blood flow)94
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081437MIMDSurgery Physician
036.125851ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 15, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Aug 20, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 15, 2018 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Aug 20, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2050 Pfingsten Rd
Ste 330
Glenview, IL 60026
Phone (847) 570-2868

9650 Gross Point Rd
Ste 4900
Skokie, IL 60076
Phone (847) 663-8050

9650 Gross Point Rd
Skokie, IL 60076
Phone (224) 251-1160

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2350 N Lake Dr
Ste 400
Milwaukee, WI 53211
Phone (414) 270-1633

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: clee285008@direct.edward.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1699851915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765080",
            "telephone_number": "847-663-8050",
            "fax_number": "224-251-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-663-8050",
            "fax_number": "224-251-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHEONG",
        "middle_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301081437",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WI",
            "license": "57479",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036.125851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clee269329@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9650 Gross Point Rd Ste 4900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.