Active NPI
Tylor Kue Lee, MD
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1831957257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 901 S Ashland Ave Apt 402
Chicago, IL 60607-4084 - Phone
- (678) 576-0003
- NPI assigned
- Mar 11, 2024
- Reactivated
- May 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
901 S Ashland Ave Apt 402
Chicago, IL 60607-4084
Mailing address
901 S Ashland Ave Apt 402
Chicago, IL 60607-4084
Phone (678) 576-0003
Other practice location 1
1480 Wrightsboro Rd Apt 1218
Augusta, GA 30901-3206
Phone (678) 576-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250624003431 | IL | Order and Referring Only - Otolaryngology | 0749792828 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- klee171932@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1831957257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S ASHLAND AVE APT 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074084",
"telephone_number": "678-576-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S ASHLAND AVE APT 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074084",
"telephone_number": "678-576-0003"
}
],
"practiceLocations": [
{
"address_1": "1480 Wrightsboro Rd Apt 1218",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309013206",
"country_code": "US",
"telephone_number": "678-576-0003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "TYLOR",
"middle_name": "KUE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-11",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"deactivation_date": "2025-03-24",
"reactivation_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.