RENEE SEUNGWON LEE (NPI# 1528683851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528683851 |
| Entity Type | Individual |
| Full Name | RENEE SEUNGWON LEE |
| Credential | DMD |
| Practice Address |
1812 Philo Rd Urbana IL 61802-6016 |
| Mailing Address |
8410 Chester Pkwy Cleveland OH 44106-2080 |
| Practice Telephone | 2177297411 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019032636 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937229 | Renee Yvonne Lee | Social Worker | 4550 W 103rd St Ste 302b, Oak Lawn, IL 60453-4868 | 2020-03-19 |
| 1568605566 | Renee C Lee | Behavioral Analyst | 1 Deer Path, East Patchogue, NY 11772-4616 | 2009-04-07 |
| 1902029945 | Renee Lee | Registered Nurse | 14585 Greenfield Rd, Detroit Health Department-grace Ross Health Center, Detroit, MI 48227-2231 | 2007-04-10 |
| 1033720883 | Renee Lee | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2020-08-14 |
| 1104394998 | Renee Lee | Marriage & Family Therapist | 1540 E Colorado St, Glendale, CA 91205-1514 | 2018-11-09 |
| 1831640168 | Renee Lee | Pharmacist | 1485 E Valley Blvd, Alhambra, CA 91801-5239 | 2016-10-21 |
| 1841554946 | Renee M Lee | Social Worker | 3491 Gandy Blvd N, Suite 201, Pinellas Park, FL 33781-2658 | 2012-07-03 |
| 1689822454 | Renee Lee | Occupational Therapist | 14 Foery Dr, Utica, NY 13501-6236 | 2008-09-04 |
| 1063688299 | Renee Jeanne Lee | Nurse Practitioner | 1234 E North St, Suite 102, Manteca, CA 95336-4960 | 2008-05-07 |
| 1033384649 | Renee Michelle Lee | Marriage & Family Therapist | 695 S Vermont Ave Fl 15, Los Angeles, CA 90005-1349 | 2008-04-24 |
| Street Address |
1812 PHILO RD |
| City | URBANA |
| State | IL |
| Zip Code | 61802-6016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517426 | Illini Smiles Dental Care P.C. | Dentist | 1812 Philo Rd, Urbana, IL 61802-6016 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
| Find all providers in zip 61802 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083829782 | Richard David Dietz | Dentist | 314 Patrick Ave, Urbana, OH 43078-2339 | 2007-05-14 |
| 1063583367 | Robert Bruce Sinclair | Dentist | 404 W Green St, Urbana, IL 61801-3267 | 2006-11-10 |
| 1376612929 | Andrew Zamora | Dentist | 1866 E Us Highway 36, Urbana, OH 43078-9600 | 2006-11-07 |
| 1972516250 | Mack Wright | Dentist | 1028 E Us Highway 36, Urbana, OH 43078-9007 | 2006-08-15 |
| 1629615794 | Limazwick-urbana LLC | Dentist | 139 Patrick Ave, Urbana, OH 43078-2123 | 2019-12-07 |
| 1588194328 | Andrew Evans | Dentist | 611 W Park St, Urbana, IL 61801-2529 | 2017-06-14 |
| 1568841344 | Illini Smiles Dental Care PC | Dentist | 125 W Main St, Urbana, IL 61801-2714 | 2015-05-26 |
| 1356780241 | Joseph Yong | Dentist | 1866 E Us Highway 36, Urbana, OH 43078-9600 | 2013-06-24 |
| 1912295700 | Justin Taylor Beck | Dentist | 848 Scioto St, Urbana, OH 43078-2255 | 2011-07-14 |
| 1316175458 | Cole Anderson | Dentist | 602 W University Ave, Urbana, IL 61801-2530 | 2009-06-28 |
| Find all providers in URBANA | ||||
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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.