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Individual
DR. DINNIE C LIM
Active
Individual
DR. DINNIE C LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01043899
IN
207Q00000X
Family Medicine Physician
Primary
036088371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02322401
BLUE CROSS/BLUE SHIELD
IL
05
—
036088371
—
IL
01
—
7208001
ILLINOIS MEDICARE PTAN
IL
Enumeration date
03/11/2007
Last updated
08/15/2012
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