Myung Chin Lee, MSOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198-000471 Issued in IL

Practice address

415 1/2 4TH St
Wilmette, IL 60091-2826

Phone

(847) 251-5225

Fax

(847) 251-5456

NPI assigned

Jun 13, 2008

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

• Jeanie Lee Bussell Professional name

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1962662866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 1/2 4TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912826",
            "telephone_number": "847-251-5225",
            "fax_number": "847-251-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1/2 4TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912826",
            "telephone_number": "847-251-5225",
            "fax_number": "847-251-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MYUNG",
        "middle_name": "CHIN",
        "credential": "MSOM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-000471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANIE",
            "last_name": "BUSSELL",
            "middle_name": "LEE",
            "credential": "MSOM, L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary Ellen Lavin, PH. D.
• Ivette Lazaro, LSW
• Frank Leavitt, PH.D.
• Howard K Lee, P.T.
• Leonore N Lee, NBC-HWC
• Peter Lee
• Amber Lefevour, LMFT
• Hope Hyacinth Leman
• Dafna Lender, M.S.W., L.C.S.W
• Leslie Wellington, LCSW,LTD

• Acupuncturist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.