SOO JUNG LEE (M.D.) – Psychiatry Physician, NPI 1295046498
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
Provider Addresses for SOO JUNG LEE (M.D.)
2150W HARRISON ST
CHICAGO, IL 606123706
Phone: (312) 942-5375
Type: Mailing
1438 S GRAND BLVD
SAINT LOUIS, MO 631041027
Phone: (314) 977-4828
Fax: (314) 977-4877
Type: Location
100 Oak St Rm F-3
San Jose, CA 951102817
Phone: (408) 295-3790
Type: Location
251 Llewellyn Ave
Campbell, CA 950081940
Phone: (408) 379-3790
Type: Location
5950 Lincoln Ave Ste W
Lisle, IL 605322613
Phone: (630) 541-8930
Type: Location
937 GENESEE DR
NAPERVILLE, IL 605634114
Phone: (847) 254-1381
Type: Mailing
11741 TELEGRAPH RD
SANTA FE SPRINGS, CA 906703681
Phone: (652) 942-8256
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200930001521 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | NY |
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