Provider Demographics
NPI:1447307913
Name:PLASMIER, LEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:PLASMIER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-4063
Mailing Address - Country:US
Mailing Address - Phone:847-742-6290
Mailing Address - Fax:847-742-6290
Practice Address - Street 1:1800 MCDONOUGH RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4566
Practice Address - Country:US
Practice Address - Phone:847-742-6290
Practice Address - Fax:847-742-6290
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71-002948103TA0400X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL203695Medicare ID - Type Unspecified