Soo Mi Lee - Samuel, MD - Psychiatry & Neurology in Crystal Lake, IL

Soo Mi Lee - Samuel, MD is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Crystal Lake, Illinois. Soo Mi Lee - Samuel is licensed to practice in Illinois (license number 036-109024) and her current practice location is 390 E Congress Pkwy, Suite J, Crystal Lake, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 356-5050.

NPI number for Soo Mi Lee - Samuel is 1275683211 and her current mailing address is 1701 E. Woodfield Road, Suite 1000, Schaumburg, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275683211.

Contact Information

Soo Mi Lee - Samuel, MD
390 E Congress Pkwy, Suite J,
Crystal Lake, IL 60014-6202
(815) 356-5050
(815) 356-5094

Map and Direction




Physician's Profile

Full NameSoo Mi Lee - Samuel
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location390 E Congress Pkwy, Crystal Lake, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275683211
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 08/24/2010

Medical Identifiers

Medical identifiers for Soo Mi Lee - Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275683211NPI-NPPES
1633897OtherILGROUP BCBS NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 036-109024 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soo Mi Lee - Samuel is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soo Mi Lee - Samuel, MD
1701 E. Woodfield Road, Suite 1000,
Schaumburg, IL 60173-5113

Ph: (847) 240-2211
Soo Mi Lee - Samuel, MD
390 E Congress Pkwy, Suite J,
Crystal Lake, IL 60014-6202

Ph: (815) 356-5050

Reviews and Comments


Psychiatry & Neurology Doctors in Crystal Lake, IL

Dr. Edwin Vera Gumapas, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 25 S Virginia St, Ste 201, Crystal Lake, IL 60014
Phone: 815-356-0475    Fax: 815-356-0796
Dr. Kathryn Schoenbrod, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014
Phone: 815-356-5050    Fax: 815-356-5094
Dr. Ramesh Babu Vemuri, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 145 S Virginia St, Crystal Lake, IL 60014
Phone: 815-444-9999    Fax: 815-397-2712
Mrs. Mohinder Chadha, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014
Phone: 815-455-7100    Fax: 815-455-3951
Katherine Ann Godfrey, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 390 E Congress Pkwy, Suite J, Crystal Lake, IL 60014
Phone: 815-356-5050    Fax: 815-356-5094
Venkata C Jampala, MD
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014
Phone: 815-455-7100    Fax: 815-455-3951

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