So Young Lee, NP is a
Nurse Practitioner - Family based in Indian Creek, Illinois. So Young Lee is licensed to practice in California (license number 95034810) and her current practice location is
816 Peter Ct, Indian Creek, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 849-3934.
NPI number for So Young Lee is 1063301877 and her current mailing address is 816 Peter Ct, Indian Creek, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063301877.
Provider's Profile
Full Name | So Young Lee |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 816 Peter Ct, Indian Creek, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063301877
- Provider Enumeration Date: 06/30/2025
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for So Young Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063301877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209.030351 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95034810 (California) | 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. So Young Lee 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 Address | Practice Location Address |
So Young Lee, NP 816 Peter Ct, Indian Creek, IL 60061-3267 Ph: (847) 849-3934 | So Young Lee, NP 816 Peter Ct, Indian Creek, IL 60061-3267 Ph: (847) 849-3934 |
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