Soo Mi Lee - Samuel
MD | Psychiatry | Child & Adolescent
390 E Congress Pkwy, Suite J, Crystal Lake
Illinois, 60014-6202
815-356-5050 815-356-5094
Maps & DirectionsSoo Mi Lee - Samuel is a Crystal Lake, Illinois based psychiatrist who is specialized in Child & Adolescent. Active license number of Soo Mi Lee - Samuel is 036-109024 for Child & Adolescent in Illinois. Her current practice location is 390 E Congress Pkwy, Suite J, Crystal Lake. Patients can reach her at 815-356-5050 or can fax her at 815-356-5094. Soo Mi Lee - Samuel is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1275683211.
Soo Mi Lee - Samuel has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Soo Mi Lee - Samuel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Soo Mi Lee - Samuel |
| Specialization: | Child & Adolescent |
| Gender: | Female |
| Credentials: | MD |
| Practice Address: | 390 E Congress Pkwy, Suite J, Crystal Lake,
Illinois, 60014-6202 |
| Phone: | 815-356-5050 |
| Fax: | 815-356-5094 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275683211 |
| NPI Enumeration Date: | 11 Jan, 2007 |
| NPI Last Update On: | 24 Aug, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soo Mi Lee - Samuel are as mentioned below.
| License Number | Specialization | State | Status | |
| 036-109024 | Child & Adolescent | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Soo Mi Lee - Samuel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1633897 | Other | Illinois | GROUP BCBS NUMBER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Soo Mi Lee - Samuel
1701 E. Woodfield Road, Suite 1000
Schaumburg, Illinois |
| Zip: | 60173-5113 |
| Phone Number: | 847-240-2211 |
| Fax Number: | 847-240-2418 |
Patients can reach Soo Mi Lee - Samuel at
390 E Congress Pkwy, Suite J, Crystal Lake, Illinois or can
call to book an appointment on 815-356-5050.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.