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JESSICA LEE
NPI 1245173400
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 13, 2026PECOS Enrolled
5841 S MARYLAND AVE # 30831089, CHICAGO, IL 60637(773) 834-9667(773) 834-7644 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 13, 2026 (2 updates tracked since 2026).

About Jessica Lee NPPES

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

JESSICA LEE (NPI 1245173400) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245173400
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA LEE
Location Address5841 S MARYLAND AVE # 30831089Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 834-9667
Fax(773) 834-7644
Sole ProprietorYes
Enumeration DateApril 13, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1245173400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # 30831089, Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica 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.

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 Jessica Lee's NPI number?

The NPI number for Jessica Lee is 1245173400. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Jessica Lee located?

Jessica Lee practices at 5841 S Maryland Ave # 30831089, Chicago, IL 60637. The listed phone number is (773) 834-9667.

What is Jessica Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Lee was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.