Individual provider Active NPI

Bonnie Lee, N.P

  • Adult Health Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1922290154
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-005967 Issued in IL
Practice address
110 E Schiller St
Elmhurst, IL 60126-2858
Phone
(630) 832-1775
NPI assigned
Aug 12, 2007
Last updated
Aug 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-005967 IL Primary

Addresses

Primary practice location

110 E Schiller St
Elmhurst, IL 60126-2858

Mailing address

110 E Schiller St
318
Elmhurst, IL 60126-2858
Phone (630) 832-1775

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000796 IL Practitioner - Nurse Practitioner 6507952868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geri Care LTDGroup PAC ID 5991794513, 12 clinicians

Practice addresses (Care Compare)

1600 W Dempster St
Suite 120
Park Ridge, IL 60068-1171
Phone (847) 590-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-005967ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical and Rehabilitation LTD CurrentSince Jul 24, 2011 Accepting new patients
Paragon Clinical LLC Adult Health CurrentSince Aug 3, 2007 Accepting new patients
Geri Care LTD CurrentSince Jul 1, 2024 Accepting new patients
NP Care, LLC Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1221 E Golf Rd
Des Plaines, IL 60016
Phone (847) 768-1300

110 E Schiller St
Ste 318
Elmhurst, IL 60126

1600 W Dempster St
Ste 120
Park Ridge, IL 60068
Phone (708) 456-5150

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1922290154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST",
            "address_2": "318",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262858",
            "telephone_number": "630-832-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SCHILLER ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262858",
            "telephone_number": "630-832-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BONNIE",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-005967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.