Jun S. Lim, DDS, Ms, LTD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JUN S. LIM, DDS, MS, LTD

Practice address

4801 W. Peterson Ave
Ste #404
Chicago, IL 60646

Phone

(773) 794-1299

Fax

(773) 794-1629

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jun Sup Lim, DDS, MSNPI 1336351345

Title

President

Phone

(773) 794-1299

Specialties & licenses 2

Addresses

Other names 1

• Edgebrook Periodontics & Implantology Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jun Sup Lim, DDS, MS.

  • Periodontics
  • Chicago, IL
  • NPI 1336351345
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174633275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W. PETERSON AVE",
            "address_2": "STE #404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-794-1299",
            "fax_number": "773-794-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W. PETERSON AVE",
            "address_2": "STE #404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-794-1299",
            "fax_number": "773-794-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN S. LIM, DDS, MS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "SUP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-794-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgebrook Periodontics & Implantology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aditya Juloori, MD
• Berkley Julun
• Sabin Juma, PHARM. D
• Theresa Topacio Jumanan
• Janean Rose Jumonville I
• Donna Jun, APN
• Julie Jun, PHARMD
• Laura Jun
• Junaid Ahmed DDS, PC
• Muhammad Junaid, M.D

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.