Individual provider · Type 1 NPI
Jun Sup Lim, DDS, MS.
Periodontics · Chicago, IL
NPI number
1336351345
Active
Practice location
4801 W. Peterson Ave., #404
Chicago, IL 60646
Fax (773) 794-1629
Mailing address
4801 W.peterson Ave., #404
Chicago, IL 60646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1336351345
Jun Sup Lim, DDS, MS.'s National Provider Identifier is 1336351345, issued on May 3, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.