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JONGNOK JENNIFER LEE
NPI 1124467436
Dentist in Chicago, IL

Active since June 19, 2013PECOS Enrolled
4759 N ASHLAND AVE, CHICAGO, IL 60640(773) 808-7744 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2023, Feb 2, 2023, Feb 17, 2016 (3 updates tracked since 2016).

About Jongnok Jennifer Lee NPPES

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

JONGNOK JENNIFER LEE (NPI 1124467436) is an individual dentist in Chicago, Illinois, licensed in Illinois (019029485) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124467436
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJONGNOK JENNIFER LEE
Location Address4759 N ASHLAND AVEChicago, IL 60640-3406
Mailing Address4759 N Ashland AveChicago, IL 60640-3406 · (773) 808-7744
Phone(773) 808-7744
Sole ProprietorYes
Enumeration DateJune 19, 2013
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1124467436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019029485
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4759 N ASHLAND AVE, Chicago, IL 60640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jongnok Jennifer Lee 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 60640 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

WELLNESS DENTAL CARE
Dentist
4759 N ASHLAND AVE
CHICAGO, IL 60640
Cook County (773) 808-7744

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 Jongnok Lee's NPI number?

The NPI number for Jongnok Lee is 1124467436. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Jongnok Lee located?

Jongnok Lee practices at 4759 N Ashland Ave, Chicago, IL 60640. The listed phone number is (773) 808-7744.

What is Jongnok Lee's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jongnok Lee enrolled in Medicare?

Yes. Jongnok Lee is registered in the Medicare PECOS enrollment system.

What insurance does Jongnok Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jongnok Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jongnok Lee was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.