Jun S. Lim, DDS, Ms, LTD

Periodontics · Chicago, IL

Organization Active NPI

NPI number 1174633275

Practice location

4801 W. Peterson Ave
Ste #404
Chicago, IL 60646
Phone
(773) 794-1299
Fax
(773) 794-1629

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NPI record

NPI
1174633275
Entity type
Organization (Type 2)
Enumeration date
August 30, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X — IL
Periodontics 1223P0300X — IL

Authorized official

Name
Dr. Jun Sup Lim, DDS, MS
Title
President
Phone
(773) 794-1299

Other names

  • Edgebrook Periodontics & Implantology

About Jun S. Lim, DDS, Ms, LTD

Jun S. Lim, DDS, Ms, LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 4801 W. Peterson Ave, Ste #404, Chicago, IL 60646. The NPI number 1174633275 was assigned on August 30, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. Jun Sup Lim, DDS, MS, President.

Frequently asked questions

What is the NPI number of Jun S. Lim, DDS, Ms, LTD?

The NPI number is 1174633275.

What is the phone number of Jun S. Lim, DDS, Ms, LTD?

The phone number listed for the practice location is (773) 794-1299.

Where is Jun S. Lim, DDS, Ms, LTD located?

4801 W. Peterson Ave, Ste #404, Chicago, IL 60646.

What is the taxonomy code for Jun S. Lim, DDS, Ms, LTD?

The primary taxonomy code is 1223P0300X – Periodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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