Individual
DR. RICHARD DENNIS LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10719 WEST 160TH STREET, ORLAND PARK, IL 60467-5541
(708) 226-3300
(708) 226-4202
Mailing address
75 REMITTANCE DR, SUITE 6581, CHICAGO, IL 60675-6581
(708) 226-3300
(708) 226-4202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-091908
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036-091908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-091908
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
IL
01
—
CL4152
RAILROAD MEDICARE PROVIDER NUMBER
IL
Enumeration date
05/24/2006
Last updated
12/21/2021
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