SO YOUNG LEE NP
NPI 1063301877
Nurse Practitioner - Family in Indian Creek, IL

Active since June 30, 2025PECOS Enrolled
816 PETER CT, INDIAN CREEK, IL 60061(847) 849-3934 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About So Young Lee Np NPPES

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

SO YOUNG LEE NP (NPI 1063301877) is an individual family provider in Indian Creek, Illinois, licensed in California (95034810) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063301877
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSO YOUNG LEECredential: NP
Location Address816 PETER CTIndian Creek, IL 60061-3267
Mailing Address816 Peter CtIndian Creek, IL 60061-3267 · (847) 849-3934
Sole ProprietorNo
Enumeration DateJune 30, 2025
NPPES CertifiedJune 28, 2025
NPI 1063301877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95034810 Licensed in IL · 209.030351
816 PETER CT, Indian Creek, IL 60061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

So Young Lee Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 So Young Lee's NPI number?

The NPI number for So Young Lee is 1063301877. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is So Young Lee located?

So Young Lee practices at 816 Peter Ct, Indian Creek, IL 60061. The listed phone number is (847) 849-3934.

What is So Young Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is So Young Lee enrolled in Medicare?

Yes. So Young Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for So Young Lee was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.