DR. CHUNG H LEE


Address: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286
Phone: 3094521788

DR. CHUNG H LEE (NPI# 1083653117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083653117
Entity Type Individual
Full Name DR. CHUNG H LEE
Credential M.D.
Practice Address 2200 Fort Jesse Rd
Suite 280
Normal
IL 61761-6286
Practice Telephone 3094521788
Practice Fax Number 3098621302
Mailing Telephone 3094521788
Mailing Fax Number 3098621302
Enumeration Date 2006-06-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
36060827 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036060827*2 05

Other Providers CHUNG LEE

NPI Name Taxonomy Address Enumeration
1669502308 Chung Hee Lee Optometrist 786 Broad St, Newark, NJ 07102-3728 2007-03-06
1912075235 Chung Min Lee Pediatrics 12121 E Carsons St, Hawaiian Gardens, CA 90716 2006-12-04
1972609360 Chung K Lee Radiology Radiation Oncology Clinic, 500 Harvard Street Se, Minneapolis, MN 55455 2006-09-15
1568460764 Chung H Lee Anesthesiology 135 Lafayette Ave, Palmerton, PA 18071-1518 2005-07-12
1093718249 Chung Seng Lee Internal Medicine 2622 Lake Ave, Fort Wayne, IN 46805-5410 2005-05-23
1154951960 Chung H Lee Contractor 21 Stringham Ave, Valley Stream, NY 11580-3915 2020-01-21
1306299516 Chung Lee Dentist 2300 Ramsey St, Fayetteville, NC 28301-3856 2016-07-22
1083078323 Chung Lee Pharmacist 550 E Union St, West Chester, PA 19382-3908 2016-04-13
1639510258 Chung Lee Dentist 414 Main St, Hudson, MA 01749-1731 2013-07-11
1497043632 Chung Albert Lee Pediatrics 171 Ashley Ave, Charleston, SC 29425-1002 2011-07-20

Office Location

Street Address 2200 FORT JESSE RD
SUITE 280
City NORMAL
State IL
Zip Code 61761-6286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538168786 Edward H. Kolb Orthopaedic Surgery 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 2005-07-19
1104333491 Ft. Jesse Imaging Center LLC Radiology 2200 Fort Jesse Rd, Normal, IL 61761-6286 2018-01-08
1245688209 Lindsay Connor Nurse Practitioner 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761-6286 2016-06-01
1366837676 Emily Forney Physical Therapist 2200 Fort Jesse Rd, Suite 240, Normal, IL 61761-6286 2015-04-02
1134529555 Traci Kissinger Physical Therapist 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 2014-09-04
1811323975 Rachel E Bauman Dietitian, Registered 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 2013-09-20
1295088391 Jennifer Alice Berkley Nurse Practitioner 2200 Fort Jesse Rd, Normal, IL 61761-6286 2012-10-26
1063765303 Mallory R Hippler Counselor 2200 Fort Jesse Rd, Normal, IL 61761-6286 2012-10-24
1083962500 Jessica Johann Nurse Practitioner 2200 Fort Jesse Rd, 110, Normal, IL 61761-6286 2012-08-15
1003163379 Jason N Richards Occupational Therapist 2200 Fort Jesse Rd, Normal, IL 61761-6286 2012-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
Find all providers in zip 61761

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063627214 Amit Vyas Radiology 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761-6289 2007-05-11
1104333491 Ft. Jesse Imaging Center LLC Radiology 2200 Fort Jesse Rd, Normal, IL 61761-6286 2018-01-08
1114169893 Pooria Javadi Radiology 2200 Fort Jesse Rd, Ste 280, Normal, IL 61761-6286 2009-03-27
1386683076 Kendall L Wong Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-06-06
1316986466 William L Ray Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-06-05
1265471486 Jonathan M Foss Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-06-05
1942249131 Adrian M Cordoba Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-06-05
1912946153 Richard P Puckett Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-06-05
1972559912 William E Cooley Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-05-25
1043266018 Carlos P Capati Radiology 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761-6286 2006-05-25
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Competitor

Search similar providers

City NORMAL
Zip Code 61761

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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