Individual
DR. JOHN V LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 HARLEM AVE, BERWYN, IL 60402-4832
(708) 484-8861
(866) 391-1683
Mailing address
1405 HARLEM AVE, BERWYN, IL 60402-4832
(708) 484-8861
(866) 391-1683
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-086835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-086835
LICENSE NUMBER
IL
05
—
036-086835
—
IL
Enumeration date
05/17/2006
Last updated
07/09/2010
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