MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) – Physician Assistant, NPI 1528523057

MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) is a healthcare provider. based in Northbrook, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, CAQ-PSYCH. The NPI Number for MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) is 1528523057

Main info

Male
8 Years Of Experience
Name
MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH)
NPI
1528523057
Phone
(847) 450-6393
Address
333 SKOKIE BLVD STE 108-109
Enumeration Date
8 February 2019
Last Update Date
17 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3125464193
Graduation Year
2018 (8 years ago)
PAC ID
8325379043
Group Practice PAC ID
7517284755
Professional Enrollment ID
I20191010002723
Address ID
IL602014619EV501XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:7State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH)

  • 333 SKOKIE BLVD STE 108-109

    NORTHBROOK, IL 600621613

    Phone: (847) 450-6393

    Fax: (847) 919-8375

    Type: Location

  • 6701, Church Street, Morton Grove, Niles Township, Cook County, Illinois, 60053, United States

    MORTON GROVE, IL 600532306

    Phone: (847) 312-4506

    Type: Mailing

  • 1700, Luther Lane, Butler County, Missouri, 63901, United States

    PARK RIDGE, IL 600681270

    Phone: (847) 723-5050

    Type: Location

  • 1775 Dempster St

    Park Ridge, IL 600681143

    Phone: (847) 723-2210

    Type: Location

  • 1700 LUTHER LN STE 1220

    PARK RIDGE, IL 600681270

    Phone: (847) 723-4400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 212 Open Payments records for all available years, with a total value of $3,522.

Total Amount is formed as General ($3,522) + Research ($0) + Ownership ($0) = $3,522.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,032).

Total Amount

$3,522

General + Research + Ownership

Payments

212

Total payment records

General Amount

$3,522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191010002723IPhysician AssistantILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517284755View full group profile
NameSpecialtyState
-IL
-IL
-IL
Physician AssistantTN
Physician AssistantIA
Physician AssistantIL
Mental Health CounselorPA
-KS
Mental Health CounselorIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) by NPI?
Use NPI 1528523057 when you need to reference MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) in forms, claims, or directories.
Does this profile mean MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) is currently active?
Yes — MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) appears active in the national provider directory.
Can you summarize MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH)'s specialty in plain language?
Clinically, the directory lists MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH)?
The snapshot lists Northbrook, Illinois for MR. JUSTIN WING HANG LEE (PA-C, CAQ-PSYCH); download NPPES for the complete set.
What if Northbrook, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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