Individual provider Active NPI

Christine Lee, APN, FNP-BC

  • Family Nurse Practitioner
  • Oak Lawn, IL
National Provider Identifier
1972993434
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.012029 Issued in IL
Practice address
4220 W 95TH St
Suite 200
Oak Lawn, IL 60453-2793
Phone
(708) 876-1550
Fax
(708) 876-1551
NPI assigned
Feb 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.012029 IL Primary

Addresses

Primary practice location

4220 W 95TH St
Suite 200
Oak Lawn, IL 60453-2793

Mailing address

4220 W 95TH St
Suite 200
Oak Lawn, IL 60453-2793
Phone (708) 876-1550

Other practice location 1

361 W Golf Rd
Schaumburg, IL 60195-3607
Phone (847) 952-7447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christine.lee.1@380.direct.athenahealth.com

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
I20150608000057 IL Practitioner - Nurse Practitioner 2961723689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

801 Adlai Stevenson Dr
Springfield, IL 62703-4261
Phone (800) 997-6196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.012029ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Oct 4, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 1, 2015 Accepting new patients
Alexian Brothers Corporate Health Services Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

4220 W 95th St
Ste 200
Oak Lawn, IL 60453
Phone (708) 398-0287

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

Interoperability endpoints

  • Direct secure messaging: christine.lee.1@380.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1972993434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 95TH ST",
            "address_2": "SUITE 200",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532793",
            "telephone_number": "708-876-1550",
            "fax_number": "708-876-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 95TH ST",
            "address_2": "SUITE 200",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532793",
            "telephone_number": "708-876-1550",
            "fax_number": "708-876-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "361 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601953607",
            "country_code": "US",
            "telephone_number": "847-952-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINE",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.012029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.lee.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "361 W Golf Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601953607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.