So Young Lee, NP is a medicare enrolled "Nurse Practitioner - Family" in Indian Creek, Illinois. Her current practice location is
816 Peter Ct, Indian Creek, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 849-3934.
So Young Lee is licensed to practice in California (license number 95034810) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063301877
- Provider Enumeration Date: 06/30/2025
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072082734
- Enrollment ID: I20260512003550
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
enrolled with medicare and thus, if eligible, can 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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