Active NPI
Woo Yong Lee, M.D.
- Internal Medicine Physician
- Peoria, IL
National Provider Identifier
1790796076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036050591
- Practice address
- 7717 N Orange Prairie Rd
Bob Michel VA Outpatient Clinic
Peoria, IL 61615-9323 - Phone
- (309) 589-6800
- Fax
- (309) 589-6981
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036050591 | IL | Primary |
Addresses
Primary practice location
7717 N Orange Prairie Rd
Bob Michel VA Outpatient Clinic
Peoria, IL 61615-9323
Mailing address
515 W Wolf Rd
Peoria, IL 61614-2054
Phone (309) 690-3225
Other names 1
- Dr. Woo Yong Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1790796076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W WOLF RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142054",
"telephone_number": "309-690-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 N ORANGE PRAIRIE RD",
"address_2": "BOB MICHEL VA OUTPATIENT CLINIC",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159323",
"telephone_number": "309-589-6800",
"fax_number": "309-589-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "WOO",
"middle_name": "YONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036050591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WOO",
"last_name": "LEE",
"middle_name": "YONG",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.