Antoinette Marie Lee, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.026385 Issued in IL

Practice address

480 E Roosevelt Rd Ste 105
West Chicago, IL 60185-3969

Phone

(630) 492-1965

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Antoinette Marie Vita Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 6, 2024 through Sep 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Motivated Medicine, PLLC

  • Internal Medicine Physician
  • West Chicago, IL
  • NPI 1104473263

  Family

  NPD

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1861101222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E ROOSEVELT RD STE 105",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853969",
            "telephone_number": "630-492-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E ROOSEVELT RD STE 105",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853969",
            "telephone_number": "630-492-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANTOINETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-03-08",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "VITA",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• KS Smart Solutions LLC
• Keith Langon
• Nancy Larson, MA, LCPC
• Latino Treatment Center
• Laureate West Chicago Operations LLC
• Skylar Lefevers
• Carol Marie Leffler, MA CCC SLP
• Legacy Medical Care Inc
• Lewana Inc
• Christopher Patrick Lewandowski, M.ED., LCPC

• Family Nurse Practitioner in West Chicago, IL
• Providers in West Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.