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Organization

THE PROFESSIONAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LIMA MD (PRESIDENT)
(773) 772-1139
Entity
Organization

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
174400000X
Specialist
Primary
036110332
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1637042
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
08/05/2007
Last updated
02/27/2026
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