Healthcare Provider Details

I. General information

NPI: 1447307913
Provider Name (Legal Business Name): LEE PLASMIER PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MCDONOUGH RD
HOFFMAN ESTATES IL
60192-4566
US

IV. Provider business mailing address

755 CARLTON DR
ELGIN IL
60120-4063
US

V. Phone/Fax

Practice location:
  • Phone: 847-742-6290
  • Fax: 847-742-6290
Mailing address:
  • Phone: 847-742-6290
  • Fax: 847-742-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number71-002948
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number71-002948
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: