Individual
EDISON UY LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1572 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9362
(815) 332-3015
(815) 332-7805
Mailing address
1572 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9362
(815) 332-3015
(815) 332-7805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036090152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090152
—
IL
01
—
553180
MEDICARE GROUP #
IL
Enumeration date
07/03/2006
Last updated
09/05/2014
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