Healthcare Provider Details

I. General information

NPI: 1811801285
Provider Name (Legal Business Name): MIN HWA LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 LAKE COOK RD STE 117
DEERFIELD IL
60015-4953
US

IV. Provider business mailing address

428 LAUREN LN
BUFFALO GROVE IL
60089-3520
US

V. Phone/Fax

Practice location:
  • Phone: 847-901-3323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178020762
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: