David Chang Lee MD LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

36048308 Issued in IL

Legal business name

DAVID CHANG LEE MD LTD

Practice address

5320 159TH St
Suite 302
Oak Forest, IL 60452-4705

Phone

(708) 687-6440

Fax

(708) 687-9311

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Chang Lee, MD

Title

President

Phone

(708) 687-6440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1740555291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W 159TH ST",
            "address_2": "SUITE 302",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523333",
            "telephone_number": "708-687-6440",
            "fax_number": "708-687-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 159TH ST",
            "address_2": "SUITE 302",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524705",
            "telephone_number": "708-687-6440",
            "fax_number": "708-687-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CHANG LEE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-687-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36048308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Cunningham, PA-C
• Colleen Curran, M.S.
• Kelsey M Dagenais, LCPC
• Lauren Elizabeth Danzie, RN
• Nivedita J Dave, MD
• Kimberly Joy De Jong, MA, LPC
• Sheryl M Deboer
• Brittany Ann Delorenzo, BCBA
• Patricia Lynn Demarais, MD
• Rebecca Deno

• Specialist in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.