Active NPI
Brendan Daniel Lee, D.C.
- Chiropractor
- Northbrook, IL
National Provider Identifier
1710039995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.010823
- Practice address
- 2909 Macarthur Blvd
Northbrook, IL 60062-2004 - Phone
- (847) 204-0864
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.010823 | IL | Primary |
Addresses
Primary practice location
2909 Macarthur Blvd
Northbrook, IL 60062-2004
Mailing address
2909 Macarthur Blvd
Northbrook, IL 60062-2004
Phone (847) 204-0864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
130 Waukegan Rd
Deerfield, IL 60015-5652
Phone (847) 204-0864
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.010823 | IL | MD | Chiropractor |
| 1049 | MT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Brendan Lee PC | Chiropractor | Current | Accepting new patients |
Locations
130 Waukegan Rd
Deerfield, IL 60015
Phone (847) 204-0864
2909 MacArthur Blvd
Northbrook, IL 60062
Phone (224) 300-6158
3210 Doolittle Dr
Northbrook, IL 60062
Phone (847) 204-0864
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1710039995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 MACARTHUR BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622004",
"telephone_number": "847-204-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 MACARTHUR BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622004",
"telephone_number": "847-204-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRENDAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.010823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.