Dr Grace E Lee DMD LTD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR GRACE E LEE DMD LTD

Doing business as

Elite Dental Ltd

Practice address

4142 N Sheridan Rd
Chicago, IL 60613-2007

Phone

(773) 348-6600

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Eun Hye Lee

Title

President

Phone

(267) 971-6031

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Ltd Doing business as

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1740894146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 S MICHIGAN AVE APT 2203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052961",
            "telephone_number": "267-971-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132007",
            "telephone_number": "773-348-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GRACE E LEE DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUN HYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-971-6031"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.