Individual provider Active NPI

Justine Lim, PA

  • Physician Assistant
  • Sugar Grove, IL
National Provider Identifier
1174876585
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085009244 Issued in IL
Practice address
472 Route 47
Sugar Grove, IL 60554-8107
Phone
(630) 466-6000
Fax
(630) 466-6001
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085009244 IL Primary

Addresses

Primary practice location

472 Route 47
Sugar Grove, IL 60554-8107

Mailing address

472 Route 47
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

Other practice location 1

475 S Dobson Rd
Chandler, AZ 85224-5605
Phone (480) 963-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130206000438 AZ Practitioner - Physician Assistant 2567616113 Reassigns benefits to 2 organizations
I20230911002956 IL Practitioner - Physician Assistant 2567616113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

472 N Sugar Grove Pkwy
Rush Copley Medical Group
Sugar Grove, IL 60554-8107
Phone (630) 466-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5262AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Critical Care Consultants LLC Current Accepting new patients
Arizona Em-I Medical Services PC Emergency Medicine CurrentSince Jun 2, 2024 Accepting new patients
Rush-Copley Medical Group, NFP CurrentSince Sep 1, 2023 Accepting new patients
Rush Copley Medical Group PastSince Sep 5, 2023 Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

2040 Ogden Ave
Ste 313
Aurora, IL 60504
Phone (630) 499-2404

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

2340 S Eola Rd
Ste 100
Aurora, IL 60503
Phone (630) 692-5190

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

4789 State Route 71
Oswego, IL 60543
Phone (630) 692-5730

1100 W Veterans Pkwy
Ste 200
Yorkville, IL 60560
Phone (630) 236-4270

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1174876585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548107",
            "telephone_number": "630-466-6000",
            "fax_number": "630-466-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548107",
            "telephone_number": "630-466-6000",
            "fax_number": "630-466-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245605",
            "country_code": "US",
            "telephone_number": "480-963-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUSTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, IL

Sources for this page

Verify at the official NPI Registry.