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OTTO K LEE MD
NPI 1013108422
Family Medicine in Bridgeview, IL

Active since August 09, 2007
7020 W 79TH ST, BRIDGEVIEW, IL 60455(708) 599-8200(708) 599-8306 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otto K Lee Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTO K LEE MD (NPI 1013108422) is an individual family medicine provider in Bridgeview, Illinois, licensed in Illinois (036117514) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1013108422
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOTTO K LEECredential: MD
Location Address7020 W 79TH STBridgeview, IL 60455-4030
Mailing Address7020 W 79th StBridgeview, IL 60455-4030 · (708) 599-8200 · Fax (708) 599-8306
Phone(708) 599-8200
Fax(708) 599-8306
Sole ProprietorNo
Enumeration DateAugust 9, 2007
Last NPPES UpdateJune 23, 2011
✔ NPI 1013108422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036117514
Definition
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.
7020 W 79TH ST, Bridgeview, IL 60455
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Other Identifiers 7

Other363149833IL · Tax Identification Number
OtherP00425248IL · Medicare Railroad
Other482450IL · Medicare Group Number
Medicare PINK10310IL
Other0222075IL · Blue Cross Group Number
Medicaid036117514IL
Other3631498336019001IL · Cdpg Hfs Payee Id

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROSEMARY F MEGANCK APN
Advanced Practice Midwife
7020 W 79TH ST
BRIDGEVIEW, IL 60455
Cook County (708) 599-8200
MICHAEL V GAVINO MD
Obstetrics & Gynecology
7020 W 79TH ST
BRIDGEVIEW, IL 60455
Cook County (708) 599-8200
PHILLIP PAINTER MD
Internal Medicine
7020 W 79TH ST
BRIDGEVIEW, IL 60455
Cook County (708) 599-8200
MITHILA JANAKIRAM MD
Family Medicine
7020 W 79TH ST
BRIDGEVIEW, IL 60455
Cook County (708) 599-8200
LEONOR ELIZABETH DELGADILLO FNP-BC
Nurse Practitioner (Family)
7020 W 79TH ST
BRIDGEVIEW, IL 60455
Cook County (708) 599-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otto Lee's NPI number?

The NPI number for Otto Lee is 1013108422. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Otto Lee located?

Otto Lee practices at 7020 W 79th St, Bridgeview, IL 60455. The listed phone number is (708) 599-8200.

What is Otto Lee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Otto Lee was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.