MEDICARE: DR. ANTHONY LEE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19026516	IL

General Provider Information

NPI Number	:	1144270679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY LEE DMD

Provider Business Mailing Address
First Line	:	3811 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3217
Country	:	US
Telephone Number	:	773-281-7351
Fax Number	:	773-281-7351

Provider Business Practice Location Address
First Line	:	3811 N BROADWAY ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3217
Country	:	US
Telephone Number	:	773-281-7351
Fax Number	:	773-281-7351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1679699391 — DR. ANDREW LEE D.D.S.
Practice Location Address:

3811 N BROADWAY ST
CHICAGO, IL
60613-3217

Practice Phone: 773-281-7351
Practice Fax:

1760606735 — DR. PAUL TE HACKETT D.C.
Practice Location Address:

3835 N BROADWAY ST
CHICAGO, IL
60613-3217

Practice Phone: 773-296-2225
Practice Fax: 773-296-0731

1841492808 — PAUL T. HACKETT D.C., P.C.
Practice Location Address:

3835 N BROADWAY ST
CHICAGO, IL
60613-3217

Practice Phone: 773-296-2225
Practice Fax: 773-296-0731

1992882732 — MS. ADRIENNE LYNNE DANCY LCPC
Practice Location Address:

10725 S WESTERN AVE
CHICAGO, IL
60643-3217

Practice Phone: 312-952-2006
Practice Fax: 773-310-3488

1700910304 — MS. KIMBERLY RENEE LANGSTON LCSW
Practice Location Address:

10725 S WESTERN AVE
CHICAGO, IL
60643-3217

Practice Phone: 773-439-0984
Practice Fax:

1154595379 — DR. GARRETT DAVID GAST DDS
Practice Location Address:

3435 W IRVING PARK RD
CHICAGO, IL
60618-3217

Practice Phone: 773-588-8200
Practice Fax: 773-588-8208

Directions to “ DR. ANTHONY LEE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.