Individual provider Active NPI

Eric Chullwhan Lim, DDS

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1316100365
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025267 Issued in IL
Practice address
946 Harlem Ave
Glenview, IL 60025-4275
Phone
(847) 724-3969
Fax
(847) 724-3972
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025267 IL Primary

Addresses

Primary practice location

946 Harlem Ave
Glenview, IL 60025-4275

Mailing address

946 Harlem Ave
Glenview, IL 60025-4275
Phone (847) 724-3969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616000542 IL Order and Referring Only - DentistPractitioner - Dentist 2365753530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-025267ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Lim, DDS, LTD General Practice Past Accepting new patients
Glenlake Dental Care PC Past Accepting new patients

Organizations & group practices 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1316100365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 HARLEM AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254275",
            "telephone_number": "847-724-3969",
            "fax_number": "847-724-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 HARLEM AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254275",
            "telephone_number": "847-724-3969",
            "fax_number": "847-724-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ERIC",
        "middle_name": "CHULLWHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.