Soo Mi Lee - Samuel, MD
Child & Adolescent Psychiatry Physician · Crystal Lake, IL
Soo Mi Lee - Samuel, MD is a child & adolescent psychiatry physician with a practice address in Crystal Lake, Illinois, and NPI 1275683211, issued on Jan 11, 2007. Check the license (Illinois 036-109024, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Soo Mi Lee - Samuel
- Credential
- MD
- Primary taxonomy
- Child & Adolescent Psychiatry Physician 2084P0804X
- License number
- 036-109024 IL
Self-reported in NPPES; status is on the state search - Practice location
- 390 E Congress Pkwy, Crystal Lake, IL 60014
- Phone
- (815) 356-5050
- Enumerated
- Jan 11, 2007
- Record last updated
- Aug 24, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (815) 356-5094
- Medicare enrollment
- Enrolled (PECOS I20240621000456); accepts Medicare assignment
- Medical or professional school
- University Of Cincinnati College Of Medicine, 1998
- Entity
- Type 1 · individual
8 nearest child & adolescent psychiatry physician records → All 267 in Illinois → Look up another NPI →
Also registered at 390 E Congress Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jeana Altman, LCPCProfessional Counselor1790887040
- Niccolo BonomoBehavior Technician1992631410
- Alicia CapotostoRegistered Nurse1386503746
- Tiffany CubbisonHealth & Wellness Coach1083573521
- Ellen Erlichman, LCSWSocial Worker1932288115
- Paula Fick, OTR/LOccupational Therapist1104175447
Verify Soo Mi Lee - Samuel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-109024Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Endeavor Health Medical GroupGlenview, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Soo Mi Lee - Samuel among 267 child & adolescent psychiatry physician records in Illinois
Soo Mi Lee - Samuel, MD is one of 267 child & adolescent psychiatry physician records with a practice address in Illinois. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 49% newer
- In a Medicare fileYes · 61% of these records are
- In the CMS Doctors and Clinicians fileYes · 36% of these records are
- Graduated1998 · median 2002 among the 95 with a school on file
- Record last updated2010 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0804X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Child & Adolescent Psychiatry Physician providers in Illinois
There are 267 child & adolescent psychiatry physician records in Illinois.
All 267 in Illinois → Every provider in Crystal Lake → Child & Adolescent Psychiatry Physician nationwide →
The 8 child & adolescent psychiatry physician records with the nearest ZIP codes
- Mohinder Chadha, M.D.Crystal Lake, IL 600141205834017
- Katherine Godfrey, MDCrystal Lake, IL 600141215064365
- Richard Famularo, M.D.Riverwoods, IL 600151700041423
- Henry Gault, M.D.Deerfield, IL 600151417130527
- Naomi Lerner, DODeerfield, IL 600151457994030
- Nina Liu, MDDeerfield, IL 600151922254911
- Benjamin Shain, MDDeerfield, IL 600151083633804
- Sarah Steuerman, M.D.Deerfield, IL 600151831332089
Common questions
What is Soo Mi Lee - Samuel, MD's NPI number?
Soo Mi Lee - Samuel, MD's National Provider Identifier (NPI) is 1275683211, issued on Jan 11, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Soo Mi Lee - Samuel, MD located?
The NPPES record lists a practice address at 390 E Congress Pkwy, Crystal Lake, IL, 60014. Phone: (815) 356-5050. Providers update this record themselves, so call before visiting.
How can I verify Soo Mi Lee - Samuel, MD's license?
NPPES lists Illinois license number 036-109024, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.