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Individual

DR. ALEX LIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2834 N MILWAUKEE AVE, CHICAGO, IL 60618-7401
(773) 772-1139
(773) 772-9260
Mailing address
2834 N MILWAUKEE AVE, CHICAGO, IL 60618-7401
(773) 772-1139
(773) 772-9260

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110332
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01622957
BLUE SHIELD GROUP #
IL
05
036110332
IL
Enumeration date
06/03/2006
Last updated
06/11/2021
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