Individual
FABIANE SANTOS DE LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, M/C 2030, CHICAGO, IL 60637-1447
(773) 702-6222
(773) 834-7250
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
125069115
IL
2084N0400X
Neurology Physician
Primary
A170552
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2015
Last updated
12/03/2021
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