Soo 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.