NPIMap

Organization Active NPI

Lee Advanced Breast Care LLC

  • Surgery Physician
  • Geneva, IL
National Provider Identifier
1972860047
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Narha Lee, MDNPI 1356340244
Title
Sole Member
Phone
(630) 536-7114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 036086120 IL Primary

Addresses

Primary practice location

2631 Williamsburg Ave
Suite 102
Geneva, IL 60134-1107

Mailing address

2631 Williamsburg Ave
Suite 102
Geneva, IL 60134-1107
Phone (630) 536-7114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Geneva, IL

Sources for this page

  • 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.