Individual
KEITH LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1050 ESSINGTON RD STE C, JOLIET, IL 60435-8416
(815) 514-2070
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36-112132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36112132
—
IL
Enumeration date
07/10/2006
Last updated
08/16/2023
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