Individual provider · Type 1 NPI
So Young Lee, NP
Family Nurse Practitioner · Indian Creek, IL
NPI number
1063301877
Active
Practice location
816 Peter Ct
Indian Creek, IL 60061-3267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.030351 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 95034810 (CA) |
Family Nurse Practitioner: Definition to come...
About NPI 1063301877
So Young Lee, NP's National Provider Identifier is 1063301877, issued on Jun 30, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indian Creek, IL. The record was last updated on Jun 30, 2025.