Soo K Lee MD SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOO K LEE MD SC

Practice address

210 N Hammes Ave
Joliet, IL 60435-6680

Phone

(815) 741-8088

Fax

(815) 741-8865

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Soo K Lee, M.D.

Title

President

Phone

(815) 741-8088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720204431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356680",
            "telephone_number": "815-741-8088",
            "fax_number": "815-741-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356680",
            "telephone_number": "815-741-8088",
            "fax_number": "815-741-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO K LEE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soll Behavioral Health LLC
• Shannon Sommer Tang, PHARM D
• Shaya Somwaru, PHARMD
• Connie Sondag
• Albert C Song, MD
• Kul Sood, MD
• Alexander Z Sosenko, M.D.
• Erika Sotelo
• Southwest Cardiovascular Consultants,SC
• Southwest Diabetes and Endocrinology Associates, SC

• Pediatrics Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.