Individual ProviderAndrea LeeObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address1701 W Superior St, Chicago, IL 60622-5646(312) 666-3494(773) 489-3136PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831259951Provider TypeIndividualFull NameLee, AndreaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date12/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1701 W Superior St, Chicago, IL 60622-5646Phone(312) 666-3494FaxUnlisted FaxMailing LocationMailing Address953 N Leavitt St, Chicago, IL 60622-4810Phone(773) 489-3136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinois