DR. HYOSEON LEE
NPI 1588926802
Dentist in Chicago, IL

Active since June 12, 2012PECOS Enrolled
3030 N BROADWAY ST STE 400, CHICAGO, IL 60657(773) 800-2905 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Dec 9, 2015 (2 updates tracked since 2015).

About Dr. Hyoseon Lee NPPES

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

DR. HYOSEON LEE (NPI 1588926802) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.029063) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588926802
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HYOSEON LEE
Location Address3030 N BROADWAY ST STE 400Chicago, IL 60657-7472
Mailing Address3030 N Broadway St Ste 400Chicago, IL 60657-7472 · (773) 800-2905
Sole ProprietorNo
Enumeration DateJune 12, 2012
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1588926802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019.029063
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.
3030 N BROADWAY ST STE 400, Chicago, IL 60657

Accepted 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)

Dr. Hyoseon 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 60657 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.

Clinic/Center (Dental)
3030 N BROADWAY ST STE 400
CHICAGO, IL 60657

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 Hyoseon Lee's NPI number?

The NPI number for Hyoseon Lee is 1588926802. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Hyoseon Lee located?

Hyoseon Lee practices at 3030 N Broadway St Ste 400, Chicago, IL 60657. The listed phone number is (773) 800-2905.

What is Hyoseon Lee's specialty?

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

Is Hyoseon Lee enrolled in Medicare?

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

What insurance does Hyoseon Lee accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Hyoseon 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 Hyoseon Lee was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.