Jin Ah Lee

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051304675 Issued in IL

Practice address

2720 S Highland Ave Apt 320
Lombard, IL 60148-5399

Phone

(562) 410-7953

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1811630593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375647",
            "telephone_number": "562-410-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S HIGHLAND AVE APT 320",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485399",
            "telephone_number": "562-410-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIN AH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051304675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duc Le, DMD
• Lead Dental Group
• Leaps & Bounds Family Services Inc
• Mary Ellen Leclair Connelly, PT
• Louise Leduc, LCSW
• June Lee, M.D.
• Melissa Lee
• April Leigh
• Ashton Ingle Lemke, M.A., CF-SLP
• Leonard Lempa, MSW, LCSW

• Community/Retail Pharmacy in Lombard, IL
• Providers in Lombard, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.