DR. KWANG NAM LEE (NPI# 1174519797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519797 |
| Entity Type | Individual |
| Full Name | DR. KWANG NAM LEE |
| Credential | M.D. |
| Practice Address |
6202 S Halsted St Chicago IL 60621-2029 |
| Mailing Address |
8340 Callie Ave Unit 507 Morton Grove IL 60053-3706 |
| Practice Telephone | 7738746608 |
| Practice Fax Number | 7738746609 |
| Mailing Telephone | 8479658060 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487910287 | Kwang Lee | Obstetrics & Gynecology | 18 Mcguiness Ln, White Plains, NY 10605-5107 | 2012-04-05 |
| 1861603573 | Kwang Back Lee | Dentist | 4015 Wilshire Blvd, Los Angeles, CA 90010-3401 | 2007-05-24 |
| 1427186345 | Kwang Suhn Lee | Dentist | 1579 N D St, San Bernardino, CA 92405-4742 | 2007-03-01 |
| 1013056688 | Kwang Bum Lee | Acupuncturist | 15651 Imperial Hwy Ste 201a, La Mirada, CA 90638-1653 | 2007-02-06 |
| 1144375064 | Kwang K Lee | Chiropractor | 23830 Hwy 99 101, Edmonds, WA 98026 | 2007-01-23 |
| 1003995531 | Kwang Hae Lee | Pediatrics | 18-47c Mott Avenue, Far Rockaway, NY 11691 | 2006-11-03 |
| 1952908691 | Kwang Son Lee | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2020-10-06 |
| 1710281951 | Kwang Ho Lee | Hearing Instrument Specialist | 3130 W Olympic Blvd, Suite 290, Los Angeles, CA 90006-2484 | 2011-01-03 |
| 1275697963 | Kwang Bok Lee | Chiropractor | 1217 S Jefferson St, Suite A, Huntington, IN 46750-3886 | 2006-12-20 |
| 1295893394 | Kwang Soo Lee | Psychiatry & Neurology | 221 Broadway, Suite 303, Amityville, NY 11701 | 2006-12-04 |
| Street Address |
6202 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60621-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968422 | Meghan Burcl | Counselor | 6202 S Halsted St, Chicago, IL 60621-2029 | 2018-10-22 |
| 1013285477 | Clara Akhigbe Md | Clinic/Center | 6202 S Halsted St, Chicago, IL 60621-2029 | 2011-12-13 |
| 1699009092 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 6202 S Halsted St, Chicago, IL 60621-2029 | 2009-10-01 |
| 1730378423 | Chung M. Song, Md, Sc | Internal Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | 2007-10-17 |
| 1710019245 | Reymar Dental Clinic | Clinic/Center | 6202 S Halsted St, Chicago, IL 60621-2029 | 2007-03-11 |
| 1710914999 | Chung Song | Internal Medicine | 6202 S Halsted St, Chicago, IL 60621-2029 | 2006-06-26 |
| 1255322350 | Marina Malinkovich | Dentist | 6202 S Halsted St, Chicago, IL 60621-2029 | 2005-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1275068876 | St. Bernard Hospital Ambulatory Care Clinic | Clinic/Center | 6307 S Stewart, Chicago, IL 60621 | 2017-04-21 |
| 1063954519 | Created2careltd | Secured Medical Transport (VAN) | 5632 S. Emerald Ave, Chicago, IL 60621 | 2016-11-15 |
| 1932566023 | Windycitywheelchairservice | Technician, Other | 6427 S Parnell Ave, Chicago, IL 60621 | 2016-01-21 |
| 1194127787 | Aaa-1 Transportation | Secured Medical Transport (VAN) | 5740 S Emerald Ave, Chicago, IL 60621 | 2014-09-25 |
| 1871893859 | Anuj Jain | Family Medicine | 6508 S Halsted Street, Chicago, IL 60621 | 2010-10-25 |
| 1750538104 | Adolfo M. Maglaya, M.d., S.c. | Internal Medicine | 326 W. 64th St., Chicago, IL 60621 | 2008-08-27 |
| 1083882997 | Englewood Satellite Senior Center | Clinic/Center | 657 W. 63rd St, Chicago, IL 60621 | 2008-02-13 |
| 1295952059 | Carrington Radiology, S.c. | Radiology | St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 | 2007-04-20 |
| 1851427660 | Dilipkumar Parikh Md | Internal Medicine | 324 West 64th St, Suite 216, Chicago, IL 60621 | 2007-02-26 |
| Find all providers in zip 60621 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| 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.