Lee Advanced Breast Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036086120 Issued in IL

Legal business name

LEE ADVANCED BREAST CARE LLC

Practice address

2631 Williamsburg Ave
Suite 102
Geneva, IL 60134-1107

Phone

(630) 536-7114

NPI assigned

Apr 13, 2012

Organization subpart

No

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

Authorized official

Name

Narha Lee, MD

Title

Sole Member

Phone

(630) 536-7114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1972860047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE",
            "address_2": "SUITE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341107",
            "telephone_number": "630-536-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 WILLIAMSBURG AVE",
            "address_2": "SUITE 102",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341107",
            "telephone_number": "630-536-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ADVANCED BREAST CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NARHA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "630-536-7114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": "036086120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Law
• Lawrence L. Johnson, M.D., S.C.
• Julie A Lawson, RN
• Dennis J. Lazzara
• Valerie Christine Leach, SLP
• Lee Lichtenberg, MD.,SC
• Josephine Soyoung Lee-Kim, MD
• Grace Lee, LCPC
• Jane D Lee
• Narha Lee, M.D.

• Surgery Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.