Individual
DR. DINNIE C LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 S HIGH ST, PARIS, IL 61944-2282
(217) 463-5412
(217) 466-6994
Mailing address
230 S HIGH ST, PARIS, IL 61944-2282
(217) 463-5412
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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