Active NPI
Kyung Hwa Lee
- Neuropathology Physician
- Chicago, IL
National Provider Identifier
1982919627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuropathology Physician
- License
- 125058964
- Practice address
- 710 N Fairbanks CT
Olson 2-460
Chicago, IL 60611-3013 - Phone
- (312) 503-8223
- Fax
- (312) 503-8249
- NPI assigned
- Aug 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuropathology Physician | 207ZN0500X | 125058964 | IL | Primary |
Addresses
Primary practice location
710 N Fairbanks CT
Olson 2-460
Chicago, IL 60611-3013
Mailing address
303 E Chicago Ave
Ward 3-140
Chicago, IL 60611-4296
Phone (312) 503-8223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125058964 | IL | MD | Neuropathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1982919627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E CHICAGO AVE",
"address_2": "WARD 3-140",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114296",
"telephone_number": "312-503-8223",
"fax_number": "312-503-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N FAIRBANKS CT",
"address_2": "OLSON 2-460",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113013",
"telephone_number": "312-503-8223",
"fax_number": "312-503-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KYUNG HWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "IL",
"license": "125058964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.